2012-10-22_REVISION - M2002120

• Permit No: M2002120
• IBM Index Class Name: REVISION
• Doc Date: 10/22/2012
• Doc Name: SO-01 APPROVAL
• From: DRMS
• To: BESTWAY CONCRETE COMPANY
• Type & Sequence: SO1
• Email Name: ECS
• Email Name: TAK
• 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:
-2-
Make check payable to the Division of Reclamation, Mining and Safety
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y ' r 2te_ -_\c,44&%00
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YYl . k Ac�,v
Lc) Zip Code: j 4 3
9 Telephone:
4. Successor Operator:
Contact Person: YY1 IL ,\f ) } _(eL)
Company Name: u�ac LOS
Street: A c_
City:
State: (A) Zip Code: 604
Area Code: E' '70 Telephone: �� �) - 7 7
IRS Tax ID No. or Social Security No.: e 4 — 0 670 444
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations