2012-10-22_REVISION - M1997058

• Permit No: M1997058
• 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:
-2-
Make check payable to the Division of Reclamation, Mining and Safety
1- , h - Off
i i. - tE -l -E OL-C(
3. Current Permitted Operator:
Contact Person: /1 t 'cX kc)t -i 00
Company Name: / t-C -
C e ,t TL--)'-
City:
State: Zip Code: 4
Area Code: 9 - 0 Telephone: S 6? - 7 -�—) 7
4. Successor Operator:
Contact Person: IM Ail. ,G 14 "O So
Company Name: �S � �.�:� 0
Street: C Q_,L, 42,0 42i• 44_
City: ine k( i ��7
State: Lb Zip Code: 6 c).'4 3
Area Code: q --)° Telephone 5 e -
IRS Tax ID No. or Social Security No.: PA - 065F3446)
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations