2011-02-03_REVISION - M1990134

• Permit No: M1990134
• IBM Index Class Name: REVISION
• Doc Date: 2/3/2011
• Doc Name: Notices ‎(AR-02)‎
• From: DRMS
• To: Various
• Type & Sequence: AR2
• Email Name: DMC
• Media Type: D
• Archive: No

10. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
' Individual's Name: James H & Kathleen H Ross
Company Name: n/a
' Street: 5529 %a #394
C i ty : Craz
State: Colo. Zip Code: 81625
' Area Code: 303 Telephone: 824-34S1 o££ 824-5955 ome
PERMITTING CONTACT (if different from applicant/operator above)
' Individual's Name: Tams Ross Call the g me)
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
' Individual's Name: James Ross (all the sane)
Company Name:
Street:
City:
' State: Zip Code:
Area Code: Telephone:
' 11. Primary future C ropland(CR) Pastureland(PL) General Agriculture(GA)
land use Rangeland(RL) Forestry(FR) Wildlife Habitat(WL)
(check one): Residential(RS) Recreation(RC) Industrial/Commercial(IC)
' Developed Water Te-sources(WR) Solid Waste Disposal(WD)
12. Primary present C ropland(CR) Pastureland(PL) General Agriculture(GA)
land use x Rangeland(RL) Forestry(FR) - Wildlife Habitat(WL)
' (check one): _ Residential(RS) Recreation(RC) Industrial/Commercial(IC)
unDeveloped Water )WswAux-G" (WR)
stagnant mnd-
3