2008-10-27_REVISION - M1978287

• Permit No: M1978287
• IBM Index Class Name: REVISION
• Doc Date: 10/27/2008
• Doc Name: SO application form
• From: Oldcastle SW Group, Inc. dba United Companies of Mesa County
• To: DRMS
• Type & Sequence: SO2
• Email Name: RCO
• Media Type: D
• Archive: No

-2-
I1. ADMINISTRATIVE INI'ORMATION:
1. Permit Number: 14 0L ° I 7

2
O
i
.
perat
on Name:

3. Current Permitted Operator: 11
Contact Person:

Company Name: •

Street:

City:
state: R ?L Zip Code: O
Area Code: 303 Telephone: ?.Q Ua - &
4. Successor
Contact Person: 4c Site rh v ??
Company Name: 04e.j A SO (/dyAIn Ine, Q(44 Ow
Street: PO ,fox Slav
City: Inebd„
State: CO Zip Code: 81saa
Area Code: 9 7O 'telephone: y3?y900
IRS Tax ID No. or Social Security No.:
5. &Qniication Fee: $115.00 for hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Satery