2012-08-15_REVISION - M1981088

• Permit No: M1981088
• IBM Index Class Name: REVISION
• Doc Date: 8/15/2012
• Doc Name: SO Appl.
• From: Bratton Enterprises, Inc.
• To: DRMS
• Type & Sequence: SO3
• Email Name: DMC
• Email Name: GRM
• Media Type: D
• Archive: No

11. ADMINISTRATIVE INFORMATION:
I. 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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Zip Code: C
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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