2011-12-05_REVISION - M1982020

• Permit No: M1982020
• IBM Index Class Name: REVISION
• Doc Date: 12/5/2011
• Doc Name: SO Application
• From: Aspen Mineral Resources, Inc.
• To: DRMS
• Type & Sequence: SO2
• Email Name: GRM
• Email Name: SSS
• 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.:
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4o� Telephone: 4 1019
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Zip Code: $,1 23b
Telephone: (J2 'j — 031 Z
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