2009-12-03_REVISION - M1997027

• Permit No: M1997027
• IBM Index Class Name: REVISION
• Doc Date: 12/3/2009
• Doc Name: Submittal of inadequate SO application
• From: DRMS
• To: Rocky Mountain Aggregate & Construction, LLC
• Type & Sequence: SO2
• Email Name: THM
• Media Type: D
• Archive: No

-2-
H. AIDMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
M-1997-027
Moonscape Pit
Company Name: a- 41 o' G?ic:!/ h` re,.- 4 `-
Street: d 6 j Jdrl &jw I W.
City:
State: (;i) Zip Code:
Area Code: Telephone: 25-6 ` ?16 /
4. Successor Operator:
Contact Person: Z /A M ,?{RG I L-
Company Name: E?L9 101Y11AIT1451J1/ _ , -e j a7Z-7 ??f?iVS7 'v?v?
Street:
City:
State: ??? Zip Code: ?L
Area Code. X70 Telephone. Zy7 - j,,? sz_
IRS Tax ID No. or Social Security No.: Z(O- ?? !5&6 q-2
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