2003-01-17_REVISION - M1985014

• Permit No: M1985014
• IBM Index Class Name: Revision
• Doc Date: 1/17/2003
• Doc Name: SO Application
• From: Riverside Aggregates L.L.C.
• To: DMG
• Type & Sequence: SO2
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
I. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street.
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d~Gr~ Zip Code: ~~/~.~ o{
Telephone: ~•slp 2zZ3

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city: ~ 1 ~c.q~~ li~~
State: ~r' Zip Code: 8sZ
Area Code: ~' /~ Telelp/hone°~~~7 ~<,~
IRS Tae ID No. or 5ocial$ecurity No.: ~ 7 `~ ~ ~ ~ 7 9~ /
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Application Fee: $100.00 for Hard Rock operations; $125.00 for' Constmction Materials
operations
Make check payable to the Division of Minerals and Geology