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2012-07-05_REVISION - M2006003
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2012-07-05_REVISION - M2006003
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Entry Properties
Last modified
6/16/2021 2:10:33 PM
Creation date
12/5/2012 3:14:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006003
IBM Index Class Name
REVISION
Doc Date
7/5/2012
Doc Name
SO-01 APPLICATION
From
OPERATOR
To
DRMS
Type & Sequence
SO1
Email Name
ECS
TAK
Media Type
D
Archive
No
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II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />-2- <br />COP - v3 <br />Make check payable to the Division of Reclamation, Mining and Safety <br />D 2 ,0c.E2 - ©- <br />3. Current Permitted Operator: <br />Contact Person: f\>AR.1 - , OFk 0 <br />Company Name: LO>2- ri- <br />Street: 1 (o n-kr..0vi <br />City: <br />State: (_C) Zip Code: B OS4 3 <br />Area Code: qflO Telephone: SE 7 <br />4. Successor Operator: <br />Contact Person: ovIde6( ��=) - 4 J ) <br />Company Name: c S rCe - x <br />Street: 30 / C 1 4- AC T <br />City: l� <br />State: CC.) Zip Code: e OSA <br />Area Code: 9 Telephone: SS ?a7 <br />IRS Tax ID No. or Social Security No.: � — 8 841 (0 <br />5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations <br />
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