2005-02-22_REVISION - M1992038

• Permit No: M1992038
• IBM Index Class Name: Revision
• Doc Date: 2/22/2005
• Doc Name: SO- Sand Creek Farms Inc. to Jones Fine Sand
• From: Jones Fine Sand
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMIMSTRATIVE INFORMATION:
1. Permit Number.
2. Operation Name:
3. Current Permitted Ocerator:
COntaet PCrson:
Company Name:
Street:
City.
State:
Area Code:
4. Successor Ocerator:
COntaet Person:
Company Name:
Street:
City.
State:
Area Code:
IItS Tar ID No. or Social Security No.:
M-92-038
Sand Creek Mine
Wayne Pipkin
Sand Creek Farms, Inc.
P.O, Box 404
Byers
CO ~P Code: 80103
~ln~ Telephone: F22-9491
llaren Palizzi
Jones Fine Sand
5400 Forest St.
Commerce City
Co Zip Code: 80022
303 Telephone: [phone]
5. AnnlicationFee: $100.00 for Hard Rock operations; $125.00 for Construction Materials
operations
Make check payable to the Division of Minerals and Geology