2004-02-18_REVISION - M2001113

• Permit No: M2001113
• IBM Index Class Name: Revision
• Doc Date: 2/18/2004
• Doc Name: SO App- American Concrete to Varra Companies
• From: Varra Companies Inc.
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permii Number:
2. Operation Name:
3. Current Permitted Operator.
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Sacceasor Operator:
Contact Person:
Company Name:
Street:
City:
Slate:
Area Code:
IItS Tax ID No. or Social Security No.
Sea Horse Ranch West Gravel Pit
Robert Gvdesen
ave
200 Industrial Park Road
Gunnison. -
Colorado Zip Code: 81230
970 Telephone: [phone]
Christonher L. Varra
Varra Companies, lnc.
8120 Gage Street
Frederick
Colorado Zip Code: 80516
(303) Telephone: [phone]

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