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2008-04-23_REVISION - M1978009
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2008-04-23_REVISION - M1978009
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Entry Properties
Last modified
6/16/2021 2:10:18 PM
Creation date
5/28/2008 1:33:55 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978009
IBM Index Class Name
REVISION
Doc Date
4/23/2008
Doc Name
Submittal of SO Appl
From
General Shale Brick, Inc.
To
DRMS
Type & Sequence
SO1
Email Name
MET
Media Type
D
Archive
No
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ADMINISTRATIVE INFORMATION: <br />I. Permit Number: <br /> <br />2. Opcration Name: <br />(:urrent Permitted Operator: <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />4. Successor Operator <br />Contact Person: <br />Company Name: <br />St,-eet: <br />City: <br />State: <br />Area Code_ <br />IRS Tax ID No. or Social Security No. <br />A a c. ee 9 <br />Rob ; n 5? r iL_K '?-o w+ p a <br />l 8 ?l 5.1c1.-??f??f1• v e . <br />C O zip code:O! 10 - l30$ <br />303 reiepi,one: -763 - 3014, <br />MWe <br />__G e.ner?l_S k ?I eel -- <br />-=?-30.x__ 3 5 14 7 - - <br />T/V - zip Code: <br />363 Telephone: 78? 3oye_-, <br />2 O _o H 5-- s 9_____ __----? <br />Application Fee: 5100.00 for Hard Rock operatimm 5125.00 for Consn'UCtion Materials operations <br />Make check payable to the Division of Reclamation, Mining and Safety
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