2012-10-22_REVISION - M1998013

• Permit No: M1998013
• IBM Index Class Name: REVISION
• Doc Date: 10/22/2012
• Doc Name: SO-02 APPROVAL
• From: DRMS
• To: BESTWAY CONCRETE COMPANY
• Type & Sequence: SO2
• 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-
n--, -/qce - /2
t to S hca-
j-�-A L- ,-2t:' J ( ��o. an 1v n
-
) NO I CL-tI_ $ i1
L'LlU 633
91 0 Telephone: 5
Make check payable to the Division of Reclamation, Mining and Safety
Zip Code: X3 054.
4. Successor Operator:
Contact Person: / o A4? iL 1 �rt> St?O
Company Name: 5 C. c e CONTA --1
Street: 30 C2,v x? AL �r-
City: 1/\l \`: )
State: Zip Code: 8 6 - 352
Area Code: w Telephone: . 3'6 - ) 7 .47
IRS Tax ID No. or Social Security No.: el 06'5(3446
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations