2002-07-10_REVISION - M1980193

• Permit No: M1980193
• IBM Index Class Name: Revision
• Doc Date: 7/10/2002
• Doc Name: succession of operator application form
• From: virgil b mitchell
• To: dmg
• Type & Sequence: SO1
• Media Type: D
• Archive: No

1
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II. ADh1INISTRATIVE INFOR'~IATiON:
1. Permit Number:
2. Operation Name:
3. Current Permitted Ouerator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Ocerator:
Contact Person:
Company Name
~-= /9$0-~93

I a t it l D kti~y, ~C ~4_ r'tHl Y l1~ ~ ~,(/RYA rt$Por~~7r oY)
//3 yGO~'V111'~k,.Yks~tCl~Sre1 VI"~1 I
(,o JoN~tcYb ,S.prinq'S
nI O Zip Code: ~ZS9,~o1
~1 1 q Telephone: ,~c~ C' 'Co 'yG O
~°~
~orrci!i~, E.I
Vi ra i ~ ~~i~1 i ~~~ ~~
street: ~ 9~ ., s ~!~.Yy ~'.s,-;11 ~. ~~'~l
city: ~Q / ~ mot. h
smote: ~D zip code: fs'd a~'q
Area Code: --,/~- Telephone:. ~ y 7 ~ a 5
IRS Tae ID No. or Socia! Security No.: 5 9 0~~J y y~ ~ 5
~. Analication Fee: 5100.00 for Hazd Rock operations; $125.00 for Construction Materials
operations
Make check payable to the Division of Minerals and Geology