2009-03-02_REVISION - M1987028

• Permit No: M1987028
• IBM Index Class Name: REVISION
• Doc Date: 3/2/2009
• Doc Name: Denied SO application
• From: Quickrete Materials, LLC
• To: DRMS
• Type & Sequence: SO5
• Email Name: PSH
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
M-1987-028
1. Permit Number:
Lily Mines
2. Operation Name:
3. Current Permitted Operator:
Bill Addison
Contact Person:
Colorado Marble, Inc.
Company Name:
229 Industrial Park Rd., NE
Street:
Cartersville
City:
GA Zip Coda: 30121
State:
Area Code: 770 Telephone: [phone]
4. Successor Operator:
Contact Person: William Magill
Company Name: Quikrete Materials, LLC
One Securities Centre, Suite 1300
Street: 3490 Piedmont. Rd.
City: Atlanta
State• GA Zip Code: 30305
~.~ ~: 404 Telephone: [phone]
IRS Tax ID No. or Social Security No.: 26-2680891
5. Aaalica~ don Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable to the Division of Minerals and Geology