2010-09-10_REVISION - M2003037

• Permit No: M2003037
• IBM Index Class Name: REVISION
• Doc Date: 9/10/2010
• Doc Name: Inadequate Submittal of Operators Application and Performance Warranty
• From: DRMS
• To: Oldcastle SW Group, Inc. dba United Companies
• Type & Sequence: SO2
• Email Name: GRM
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
iii- 200 3 - 637
2. Operation Name:
3. Current Permitter] Operator:
Contact Person:
14,1dor-50" l?I f

Company Name: J y Iii Scums o` G /fit V2 L-?
Street: r • paX 3? b -_-
City: Z "aGi(7 e0 e//3'7
State: (f 0 Zip Code: el/37
Area Code: Telephone:
4. Successor Operator:
Contact Person:
p?fer- kl-e,' d
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:
u,,;-k ?oyLrOG?y+i e 5
2 3
i?GLr?r. /J? U ttir?eG't?i Ov1
C Zip Code: /5 n 'a-
1770 Telephone:---) y 3 _ l ?D
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