2011-07-08_REVISION - M2004013 ‎(17)‎

• Permit No: M2004013
• IBM Index Class Name: REVISION
• Doc Date: 7/8/2011
• Doc Name: SO Appl.
• From: Pete Lien & Sons, Inc.
• To: DRMS
• Type & Sequence: SO1
• Email Name: BMK
• Media Type: D
• Archive: No

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:
-2-
M- 2004 -013
Joel Brannan
Make check payable to the Division of Reclamation, Mining and Safety
St. Barbara Sand and Gravel Mine
Trans Colorado Concrete a Division of Pete Lien & Sons. inc.
3390 Drennan Industrial Loop North
Colorado Springs
Colorado
605
Joel Brannan
Pete Lien & Sons, Inc.
P.O. Box 440
Zip Code: 80910
Telephone: [phone]
Rapid City
South Dakota zip Code: 57709 -0440
605

$115.00 for Hard Rock operations; $144.00 for Constructi, als operations