2009-02-19_REVISION - M1997064

• Permit No: M1997064
• IBM Index Class Name: REVISION
• Doc Date: 2/19/2009
• Doc Name: SO Application Form
• From: GCC Rio Grande, Inc.
• To: DRMS
• Type & Sequence: SO2
• Email Name: MET
• Media Type: D
• Archive: No

li. ADMMSTRATIVE 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.:
-2-
M-1997-064
Agri-Cal #1 Mine
Mr R G-- Gcr°`dS-
WPstprn Nutrients
6962 UmiqeF St Fe e }
Arvada
Col nrado Zip Code: 80403
Ivy Telephone: R p-:I Q
Ronald Hedrick
GCC Rio (Irande, Inc.
3 72 Limp Roa(]
p»Phl n
Colorado Zip Code: 81004
71() Telephone: [phone]
5. 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