2011-10-20_REVISION - M2011028

• Permit No: M2011028
• IBM Index Class Name: Revision
• Doc Date: 10/20/2011
• Doc Name: Submittal of SO application ‎(SO-01)‎
• From: DRMS
• To: Oldcastle SW Group, Inc.
• Type & Sequence: SO1
• Email Name: KAP
• Media Type: D
• Archive: No

H. 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.:
-2-
M- 2011 -028
Animas Glacier Gravel
Tom Hall
Weeminuche Construction Authority
305 Industrial Parkway
Towac
CO Zip Code: 81334
970 Telephone: [phone]
Matt Carnahan
Oldcastle SW Group, Inc. dba Four Corners Materials
6699 CR 521
Bayfield
CO Zip Code: 81122
970 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