2011-09-15_REVISION - M1982036 ‎(4)‎

• Permit No: M1982036
• IBM Index Class Name: REVISION
• Doc Date: 9/15/2011
• Doc Name: SO application form ‎(SO-03)‎
• From: Peabody SAge Creek Mining, LLC
• To: DRMS
• Type & Sequence: SO3
• Email Name: DMC
• 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.:
-2-
M -82 -036
Mesa Gravel Pit
Make check payable to the Division of Reclamation, Mining and Safety
Mike W. Ludlow
Sage Creek Coal Company LLC
29515 RCR 27
Oak Creek
CO Zip Code: 80467
970 Telephone: [phone]
Mike W. Ludlow
Peabody Sage Creek Mining
36600 RCR 27
Hayden
CO zip Code: 81639
970 Telephone: [phone]

5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations