2008-09-24_REVISION - M1985129

• Permit No: M1985129
• IBM Index Class Name: REVISION
• Doc Date: 9/24/2008
• Doc Name: SO Application
• From: Hudick Excavating, Inc.
• To: DRMS
• Type & Sequence: SO4
• Email Name: MET
• Media Type: D
• Archive: No

2-
1I. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
AA ?.? / a_I
Contact Person: C_ k - /?
Company Name: gti Clo-
Street: Il1?J? C S 6UlUP /7 O ?6
City: l C?l,IJ/4 l?
State: ! Zip Code: 40 z
Area Code: JaCo)-3 Telephone: k ,g2?
4. Successor Operator:
Contact Person: k ?/ /7 G( ,?7? /C
Company Name: AICn
Street: l_? ?'o u f,_J2 1 t
City: +-OW State: /Q Zip Code:
Area Code: ?5 03 Telephone: D
FRS 'F'ax ID No. or. Social. Security No.: otel& - '
5. Anylication Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety