2006-04-21_REVISION - M2004045

• Permit No: M2004045
• IBM Index Class Name: REVISION
• Doc Date: 4/21/2006
• Doc Name: Transfer of permit and succession of operators application SO01
• From: Rio Grande Ranch, LLC
• To: DRMS
• Type & Sequence: SO1
• Email Name: RCO
• Email Name: GRM
• Media Type: D
• Archive: No

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1. Pe snit Number:
2. Operation Name:
3. Cunmt Pennitted ftELtW.
Contact Person:
Company Name:
street:
City:
State:
Area Code:
Contact Person:
Company Name:
street:
city:
state:
Ana Code:
IRS Tax ID No. or Social Security No.
M -- z004 - -o45
1411NNA P,'r Ago- 2
TN�-r�AS N, s�ni fN L
1-7ol r- l tti 571ErrT
)(A N sA s c ,,1! ✓
rh 0 — zip code: 4 !�
l% Telephone: __ 3 3 1` 043 -'S-
I bUOG L
lelo CtiRANDE F?ANCN LL.0
Po. Bo )( 13 80
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C po
Zip Code: 8115 _
Telephone: S 7 ?J — /DL oZ

S. Aonbicatbo Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable to the Division of Minerals and Geology