2005-04-26_REVISION - M2000118

• Permit No: M2000118
• IBM Index Class Name: Revision
• Doc Date: 4/26/2005
• Doc Name: SO Appl
• From: D.G. Huskin Construction Co.
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

-2-
II.
ADMINISTRATIVE INFORMATION:
1. Permit Number.
2. Operation Name:
3. Current Permitted Operator.
YYI - a-o on - I i ~
~1~~ P~~
ConTaetPerson: ~ r c,,l~I a r-cl, Pon~.~,~,ds
Company Name: 7 G'- t-~t7wS I L I +y l ,O w s ~' ~ Go _
street: ~~ L~ . l> 4~ 1G G i
City: I~t~ ~2~-V-'LOr ~ i
state: l, D Zip co~p9e,: / 51 I Z 5 3
Area Code: ~ - G Telephond: ~ 7~ "I ` U ~ I S
4. Sacceasor Oaerat~:
Contact Person: 1 < I Ci ~ G 1'~ ~ ~~ l,l. ~ S
company Name: ~ ~ C'~ S c~ t.i, t'~~e ~ +~ C o ,y s,~',
city: ~~P vl ? J' n~ ~P.
State: l/ ~ Zip Cade: ~ i a- ~
Area Code: ~ 1 Telephone: ~ ~ ~. - ~ ~ ~ u '
1RS Talc ID No. or Social Security No.: '~ l7 ~ ~--~ ~- ~n 6 ~{
5. Anpllcation Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable tb the Division of IvfineraLs and Geology
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