2004-12-26_REVISION - M1986048

• Permit No: M1986048
• IBM Index Class Name: Revision
• Doc Date: 12/26/2004
• Doc Name: SO-Washington County to Reese Contracting
• From: Reese Contracting
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
1~- ~Qg6- O~~
~~G~J~SFn. ~r°lJ~ P~~fi
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
city:
~'r~G~JO~n S fi\
Q S Gl ~'..~ f"9r W ~'~
I5O 145 tg'0ef~i.l~
fi Kro~
State: G ~ Zip 'C`ode: ~ 7 ~- ~
Area Code: ~ ~ ~ Telephone: ~ T S - ~- 70
4. Successor Operator:
~~~~v~ ~ee.Se.
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
II25 Tax ID No. or Social Security No.
~ELS~ (~~aTa~errn~~_
1675'7 C6 ~~7 /(rr
C _f~ L (?~ Zip Code: ~~ 7 Z7~
~_ Telephone: ~,,~~~ Z
5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable to the Division of Minerals and Geology