2003-11-06_REVISION - M1987024 ‎(2)‎

• Permit No: M1987024
• IBM Index Class Name: Revision
• Doc Date: 11/6/2003
• Doc Name: SO App Corey to Western Gravel
• From: Western Gravel Inc.
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMIN[STRATiVE INFORMATION:
I. Permit Number:
2. Operation Name:
3. Current Peruutted Operator:
Contact Pelson:
M-1987-024
Corev Gravel Pit #3
Robert D. & Lavelle Corey
Compatty Name
Street: 62237 Sorina Creek Road
City: Montrose
State: Colorado Zip Code: 81401
Area Code: 970 Telephone: [phone]
4
Contact Persa~n:
Comparry Name:
Street:
City:
State: ' -
Area Code:
IRS Tax ID No. or Soda! Seaaity No.:
Judy DeVincentis
Western Gravel. Inc.
3001 North Townsend Avenue
Montrose
Colorado Zip Code: 81401-
970 Telephone: [phone]

5. ~pplicatienFee: $100.00
Make cheek payable to the Division of Minerals aad Geology