2005-01-31_REVISION - M1986048 ‎(3)‎

• Permit No: M1986048
• IBM Index Class Name: Revision
• Doc Date: 1/31/2005
• Doc Name: Incomplete SO Appl
• From: DMG
• To: Reese Contracting
• Type & Sequence: SO1
• Media Type: D
• Archive: No

2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number.
2. Operation Name:
h1- IQg6-o~~
~~~~Ise~. ~~~ae.l P,~fi
3. Current Permitted Operator:
Contact Person: ~~nG2~ O ~vt 5 irh
CompagyName: ~QS~''^P~~bh CAWLL'~
street: ! 50 t4 Slti t4~2h u~
City: fl Kro~
state: Ci ~ zip ~~c//ode: 5~ ~ 1 O
Area Code: ~/ ~ O Telephone: 37"s" a' ~D
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:

K~6s~= (:gn~?Ri42~'rnl~.
r'(n7~ C"a ~'~/jn
/-~ Tt~~n tl~
L~L~_ Zip Code: ~d7Z~-
Telephone: ~ - /3 ~7
5. Application Fee: $100.00 for Hard Rock operations; $125.00 for ConsWction Materials operations
Make check payable tb the Division of Minerals and Geology