2009-02-24_REVISION - M1997064

• Permit No: M1997064
• IBM Index Class Name: REVISION
• Doc Date: 2/24/2009
• Doc Name: Submittal of Inadequate SO Appl., PW and One Site Exploration FW/CS
• From: DRMS
• To: GCC Rio Grande, Inc.
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-2-
II
ADl1MMSTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
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.:
M-1997-064
Agri-Cal #1 Mine
Mr R r, .0, f- r 1-.-- 1.7 -Z
Wpsfprn Nti i ents
606-P 13mbeLc StLceet
Arvada
Cnl nradn Zip Code: 80403
30-:? Telephone: g 92-39 49
Ronald Hedrick
GCC Rio Grande Tnc
337? T.ima Rnad
P_l.l_e hl n
Colorado Zip Code: 81004
719 Telephone: [phone]
S. Application Fee: $115.00 for Hard Rock operations, $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety