2013-03-15_REVISION - M1991146

• Permit No: M1991146
• IBM Index Class Name: REVISION
• Doc Date: 3/15/2013
• Doc Name: AM-01 APPLICATION
• From: OPERATOR
• To: DRMS
• Type & Sequence: AM1
• Email Name: WHE
• Email Name: GRM
• Media Type: D
• Archive: No

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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 Ro 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: Robert A. Larson Title:
Company Name: Monadnock Mineral Services LLC
Street/P.O. Box: 342 7th Av e P.O. Box: 85
City: Ouray
State: CO Zip Code: 81427
Telephone Number: ( 970 ) - 325 4600
Fax Number: ( 970 ) -
3254384
INSPECTION CONTACT
Contact's Name: Robert A. Larson Title:
Company Name: Monadnock Mineral Services LLC
Street/P.O. Box: 342 7th Av e P.O. Box: 85
City: Ouray
State: CO Zip Code: 81427
Telephone Number: ( 970 ) _ 325 - 4600
Fax Number: ( 970 ) -
325 - 4384
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency:
Street:
City:
State: Zip Code:
Telephone Number: ( ) -