2011-05-12_REVISION - M1986079 ‎(5)‎

• Permit No: M1986079
• IBM Index Class Name: REVISION
• Doc Date: 5/12/2011
• Doc Name: SO Application
• From: Mann Resources LLC
• To: DRMS
• Type & Sequence: SO2
• 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-1986-079
M&G Pit
Anne Johnson
Lafarge West, Inc.
10170 Church Ranch Way # 200
Westminster
CO Zip Code: 80021
303 Telephone: [phone]
Clay Carlson
Mann Resources LLC
P.O. Box 247
Eastlake
CO Zip Code: 80614
303

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