2007-05-15_REVISION - M1997065

• Permit No: M1997065
• IBM Index Class Name: REVISION
• Doc Date: 5/15/2007
• Doc Name: SO Appl.
• From: Stone Wholesale, Inc.
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

2-
I1. ADMINISTRATIVE LNFORMATION:
1. Permit Number:
M .-97- 0&.
2. Operation Name:
3. Current Permitted Operator:
R(WN5-T0A/) Gj2)q9,9,-
Contact Person: ji on S'T ) C 't?'o \j
Company Name: a-rV I /E
Street: `4 ,7/ 2 W, 1-14 R EV ZE iii YJ1P,
city: 7owr ?Dtf 1?S
State: C- 0 Zip Code:
Area Code: 220 Telephone: '2-2 ) 23 Z
4. Successor Operator:
Contact Person: O G YVIL l R ??
Company Name: S T 12M Fin W14 0e- Z- 9 A L &
Street:
City: 9DAT CT?LLI?I.S
State: C © Zip Code:;
Area Coder Telephone: Z 2 /"/ Z
IRS Tax ID No. or Social Security No.: y _ ) 0 1? 21 9
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