2009-01-26_REVISION - M1985184

• Permit No: M1985184
• IBM Index Class Name: REVISION
• Doc Date: 1/26/2009
• Doc Name: SO Application
• From: Bivens Trucking & Excavating, Inc.
• To: DRMS
• Type & Sequence: SO4
• Email Name: MET
• Media Type: D
• Archive: No

2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number: M N95- I laq
2. Operation Name: ?I-i6n
3. Current Permitted Operator:
Contact Person: Q [ t? l l 0
Company Name: - 1 (l rb
Street: S l
?vd
City: ?Yl l c? l MS.
State: U) Zip Code: _
Area Code: D Telephone: SO- 0 30
0 -ICi w Pj .
4. Successor Operator: r ' ' C'AI LVKI C0 90sa y
Contact Person: AA R /V d' V Q„ &?
Company Name: ?,) i 11 edl S u G 1` r'aLrr ?xc.? ci?vjr,
r
Street: ?W L AI
City: Coll toys
State: CO. ,Zip Code: Z
Area Code: 9? D Telephone:
IRS Tax ID No. or Social Security No.. S_ Application Fee: S 115.00 for Hard Rock operations: irs ?tdr als operations 7
Make check payable to the Division of Reclamation, Mining and Safety