2010-06-25_REVISION - M1981286

• Permit No: M1981286
• IBM Index Class Name: REVISION
• Doc Date: 6/25/2010
• Doc Name: SO Appl.
• From: RWT Excavating and Demolition LLC
• To: DRMS
• Type & Sequence: SO1
• Email Name: MAC
• Media Type: D
• Archive: No

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II.
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.:
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
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Zip Code:^_U S.1S,
70 Telephone: 3J " / ?O
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GV Zip Code:
Telephone: O ~ J O
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Make check payable to the Division of Reclamation, Mining and Safety