2008-12-10_REVISION - M1991081 ‎(4)‎

• Permit No: M1991081
• IBM Index Class Name: REVISION
• Doc Date: 12/10/2008
• Doc Name: Inadequate SO application
• From: DRMS
• To: Sam Keeling
• Type & Sequence: SO1
• Email Name: KAP
• Media Type: D
• Archive: No

1
-2-
ll. ADMINISTRATIVE INFORMATION:
1. Permit Number: ""'o ' ` C?C1 [:© P
2. Operation Name: Xle e- hb-cl ell
3. Current Permitted Operator:
Contact Person: .?
Company Name: CA.? d?
Street: 14 E P o 6d k 36r
City: Lo,
State:
Co to f-li 0 Zip Code: 05-5-
Area Code: ---19 Telephone: It Z S S 7
4. Successor Operator:
Contact Person: l'nP,c 1??'g
Company Name: Kp '}pvcT"e..?
Street: Uf?.,t,- PO,6a, 3 /
City: -- L_ A y j
State: e
L Zip Code:
Area Code: 715. Telephone. -7'42-- SrS 7
IRS Tax 1D No, or Social Security No.: t 2 / - 7 - / 3 V 3
5- Application Fee: V 15.00 for hard Pock operations, $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety