Laserfiche WebLink
2- <br />II. AllbIIIYISTRATIVEWFORMATION: <br />I. Permit Number: <br />M- l R9a -©~~ <br />2. Operation Name: <br />3. Current Permitted Ocerator: <br />}-~o~e~vtore ~ LeAd,,,I~C <br />Contact Person: `~ •5( G OI'r t ^C,II A L ~ % ~ ff <br />Company Name: ~- C A d v ~~ (, ~ 2 M ~r vt ~ v~Q 0.N 0 M ; c i i its <br />street: P, o . 8o x -SS z. <br />city: L'~a ~t/ ~i (l e _ <br />State: Cp ~ D !' A ~ O Zip Code: ~~ d ~(o <br />Area Code: q 7 D Telephone: Z I d(- -$ ~ <br />4. Successor Ocerator: <br />Contact Person: <br />Company Nartu: <br />Street: <br />City: <br />State: <br />Area Cody. <br />IRS Tax ID No. or Socia! Security No.: <br />J, S c-o"~T l~ ~z l~ f+ <br />GaP~-l-al C,ot~ C®rD, <br />-'T <br />f.O, goX SS~- <br />L mad ~ ; (h ,aq,~~ <br />~O ~'~ r Q Zip Cod''e//: ~(~fJ ~" <br />~ ~ Telephone: ~ I `Y' ' ~ ~[~ T <br />l3-'3l£',OS3~ <br />5. ADOlicatioh Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations <br />Make check payable to [he Division of Reclamation, Mining and Safety <br />