2010-03-12_REVISION - M2003016

• Permit No: M2003016
• IBM Index Class Name: REVISION
• Doc Date: 3/12/2010
• Doc Name: Submittal of Inadequate SO Appl. and PW
• From: DRMS
• To: Pioneer Sand Company, Inc.
• Type & Sequence: SO2
• Media Type: D
• Archive: No

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II. ADIMMSTRATNE WORMATION:
1. PermitNumber
I Operation Name:
rte/ T
3. Current Permitted Operator.
Contact Person: ilAj?
Company Name: Ala? ("' wld atrll y t?L?
Street LSD i 5 i C?h413 `3 D't?12
City:.. N 0l2 i s
State:
LA zip Code: `]& G 0
Area Code: b„ Telephone: ?Z
4. Successor Operator.
Contact Person: • h !? KA ! c
Company Naive: P1 r5.v E-E.P Q r?ty?/i ?•?C
Street: l? ,80 ?C ?? , ?Q
city: c o%R&Do .JG -S
State: ?!S Zip Code-
Area Code:
`

ERS Tax ID No. or Social Security No-- /

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S_ Application Fee$115.00 for Hard Rock opemiions; S144.00 far Constivction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety