2009-05-12_REVISION - M1978052 ‎(7)‎

• Permit No: M1978052
• IBM Index Class Name: REVISION
• Doc Date: 5/12/2009
• Doc Name: SO Appl.
• From: City and County of Denver, Water Board
• To: DRMS
• Type & Sequence: SO2
• Email Name: MET
• Media Type: D
• Archive: No

2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
M19'7Y-052
?1oxe T?
N 910?L 0. 49 P
Co Zip Code: F021
17613 - Telephone: 5-7 - W-7
4. Successor Operator:
4.
? Contact Person: J-
?,
7
Company Name: CVY ? ?G>oxl?pw-s
Street: /&0&)7 kv, Aye
City: w/
State: 1?0 Zip Code: O2v
Area Code: ( 0J Telephone: (GV ??
IRS Tax ID No. or Social Security No.: O v 00 `? "
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