2006-10-30_REVISION - M1977247 ‎(2)‎

• Permit No: M1977247
• IBM Index Class Name: Revision
• Doc Date: 10/30/2006
• Doc Name: Tsf of Permitand S.O. application
• From: Holcim ‎(US)‎, Inc.
• To: DRMS
• Type & Sequence: SO4
• Media Type: D
• Archive: No

2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Cprr~nt Permitted Operator.
M-1977-247
Coaldale Quarry
comaet Persap: B a ~ S +-~ ASA (Z`~
Company Name: ~- p G e1 D~ v M ~O T P
street: I ~ t7 1 (~ 1 ~ r ~ ; S -~ r~ e T
city: ~- o ~ fl ~G,~.c. ~
state: /_ A zip Code: D (7~
Area Code: 5 ~ Telephone: ~ ~ S- ~ 7I I E)C"~, Z ~ q
4. Spcctaaor Operator.
Contact Person:
Company Name:
Street:
City:
State:
Holcim (US) Inc.
3500 HiQhway 120
Florence
Colorado
Zip Code: 81226
~~: 719 Telephone: [phone]
IRS Tax ID No. or Social SecurityNo.:
5. A~plicatiop Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materiels operations
Michael B. Toelle
Make check payable to the Division of Minerals and Geology