PERMFILE115392

• Permit No: M2006053
• IBM Index Class Name: Permit File
• Doc Date: 6/26/2006
• Doc Name: Completeness
• From: Canyon Rim Stone LLC
• To: DMG
• Media Type: D
• Archive: No

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APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: '-1'~1.o:n.ance.,-.Jacks.on ;. :~. .., ~ TiUe:mpmhorF~manar.er----
Company Name:
Street/P.O. Box: 2 7 5 0 0 (: R 18 3 P.O. Box:
City: Y, i r .. ~ .
State: C O Zip Code: 8 1 0 4 9
Telophone Number: (7 Y 9 )- 6 4 3- 5 4 5 5
Fax Number: (719 )_643-5435
PERMITTING CONTACT (if different from applicanUoperator above)
Contact's Name: W. Jack Clark PhD Title member/ma¢a~Qer
Company Name: Clartc Mining"SPrvi.ces LL!'
Street/P.O. Bos: 6052 South Plewport Street p.O. Box:
City: Centennial
State: C O Zip Code: 8 0 1 1 1
Telephone Number: L 3 0 3 )- 2 21- 6 5 8 fl
Fax Number: f 303 )_221-6588
INSPECTION CONTACT
• ContacfsName: Rverett Jackson Jr. Tide member/manager
Company Name: Canyon R.im Stone LLC
Street/P.O. Box: 2 7 5 0 0 C R. 1 8 3 P.O. Box:
City: K i m
State: C 0 Zip Code: 810 4 9
Telephone Ntmtber: 1 719 )_ 6 4 3- 5 4 3 5
FaxNuniber:. ( 719 )_643-5435
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency: PdOTR,: minerals otaned by tT.S. Government. ~5.a.e.
_ __ Street. ._ _ . __ -n-e=ca-cac-a sale contract to be extablished
City; between Canyon R.im Stone LLC and BLt1 '
State: Zip Code:
Telephone Ntaaber: i ) -
CC STATE OR FEDERAL LANDOWNER (if anv)
Agency: P L M
Street: 3170 Main
City: Canon City
State: C 0 Zip Code: 81 9 1 7
Telephone Number: ( 719 1- Z 6 9- 8 5 0 0
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