2013-03-04_REVISION - M1991146

• Permit No: M1991146
• IBM Index Class Name: Revision
• Doc Date: 3/4/2013
• Doc Name: AM-01 APPLICATION
• From: OPERATOR
• To: DRMS
• Type & Sequence: AM1
• Email Name: WHE
• Email Name: GRM
• Media Type: D
• Archive: No

11. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on permit)
Contact's Name: Travis Sackman and Jeff French Title: Registered Agent
Company Name: SAKO Excavation LLC
Street/P.O. Box: 1254 County Road 23 P.O. Box: 1103
City: Ouray
State: CO Zip Code: 81427
Telephone Number: ( 970 ) _ 325 - 0459
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
INSPECTION CONTACT
Contact's Name:
Company Name:
Street/P.O. Box:
City:
State:
Telephone Number:
Fax Number:
Robert A. Larson
Monadnock Mineral Services LLC
342 7th Ave
Ouray
CO Zip Code: 81427
( 970 ) _ 325 -4600
( 970 ) _ 325 -4384
Robert A. Larson
342 7th Ave
Ouray
CO
( 970 ) _ 325 -4600
(970 ) _ 325 -4384
CC: STATE OR FEDERAL LANDOWNER (if any)
- 2 -
Monadnock Mineral Services LLC
Title:
P.O. Box: 85
Title:
P.O. Box: 85
Zip Code: 81427
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( )