2012-04-30_REVISION - M2004043

• Permit No: M2004043
• IBM Index Class Name: REVISION
• Doc Date: 4/30/2012
• Doc Name: SO Application
• From: Universal Landscape & Aggregate Supply, Inc.
• To: DRMS
• Type & Sequence: SO2
• Email Name: BJC
• Email Name: SJM
• Email Name: TAK
• Media Type: D
• Archive: No

11. 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- 2004 -043
Valco T Pit
Kevin Carrier
vvvtrr�Y«L S 5TY(A . a D1 Z�
Venable's We lding & Roustabout, Inc.
1041 North Dumas Highway
Dumas
Texas
806 Telephone: [phone]
Brad Blasi
40580 US HWY 350
Trinidad
Zip Code: 79029
Universal Landcape & Aggregate Supply, Inc.
CO Zip Code: 81 082
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