2007-11-14_REVISION - M2005050

• Permit No: M2005050
• IBM Index Class Name: REVISION
• Doc Date: 11/14/2007
• Doc Name: SO application form
• From: Bluerock Energy Corp.
• To: DRMS
• Type & Sequence: SO1
• Email Name: GRM
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit Number.:
2. Operation Name:
M2005050
J Birds
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:
Alan Chiles
Rimrock Exploration & Development, Inc.
25615 2600 Road, P.O. Box 482
Nucla
Colorado Zip Code: 81424-1424
970 Telephone: [phone]
Stephen E. Glass
Bluerock Energy C?rposat"tert Co ?p M?? J
36 West Main Street
Cortez
Colorado Zip Code: 81321
970 Telephone: [phone]
5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety