2011-11-16_REVISION - M2002096

• Permit No: M2002096
• IBM Index Class Name: REVISION
• Doc Date: 11/16/2011
• Doc Name: SO Appl.
• From: Holcim
• To: DRMS
• Type & Sequence: SO1
• Email Name: TC1
• Email Name: TAK
• Media Type: D
• Archive: No

II, ADMINISTRATIVE INFORMATION:
I. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
-2-
4. Successor Operator:
Contact Person:
, Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:
M- 2002 -096
Ranch Land, LLC
William Peetz
Ranch Land, LLC
3925 Hill. Circle
Colorado Springs
Colorado Zip Code: 80904
719 Telephone: [phone]
Joe Lamanna
Holcim (US) Inc.
3500 Highway 120
Florence
Colorado
Zip Code: 81226
719 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