2010-06-23_REVISION - M2001085 ‎(5)‎

• Permit No: M2001085
• IBM Index Class Name: REVISION
• Doc Date: 6/23/2010
• Doc Name: Submittal of Inadequate SO Applicattion
• From: DRMS
• To: Adams County RV Park, LLC dba 124th Estates Partners and Les Ewegen LLC
• Type & Sequence: SO1
• Email Name: MET
• Email Name: DB2
• Email Name: AJW
• Media Type: D
• Archive: No

-2-
ADMINISTRATIVE 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.:
M-2001 -085
120th Estates Partners
Les Ewegen
Les Ewegen LLC
3761'5 WCR 39
Eaton
CO Zip Code: 80615
970 Telephone: [phone]
James L. Newman
GSL/'Brush, LLC
4131 S. State Street
Chicago
IL Zip Code: 60609
773 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