2008-10-14_REVISION - M1995030

• Permit No: M1995030
• IBM Index Class Name: REVISION
• Doc Date: 10/14/2008
• Doc Name: SO Appl
• From: McAtee Construction Company
• To: DRMS
• Type & Sequence: SO1
• Email Name: MET
• Media Type: D
• Archive: No

2-
ll.. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
M-1995-030
Green Bros. Pit #2
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 H) No, or Social Security No
Jim F. Green
Green Bros., Inc.
19441 Hwy 34
Fort Morgan
Colorado Zip Code: 80701
970 Telephone: [phone]
Darren Gebhart
McAtee Construction Company
220 F.?l?arrlc App-
Sterling
Colorado Zip Code: 80751
970 __ Telephone: [phone] i
68-0496437
5. Application. Fee: S I 15.00 for Hard Rock operations: $144.010 kir Construction Materials operations
;vlake check payable to the Division of Reclamation, Mining and Safety