2018-06-18_REVISION - M1991035 ‎(3)‎

• Permit No: M1991035
• IBM Index Class Name: Revision
• Doc Date: 6/18/2018
• Doc Name: Request For Succession Of Operator
• From: Lafarge West
• To: DRMS
• Type & Sequence: SO4
• Email Name: ECS
• Email Name: MAC
• Media Type: D
• Archive: No

DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St„ Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: (303} 832-814fi JAY] ON OF REC
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APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
STATE OF COLORADO
RECEIVED
JUN 18 2018
ADMINISTRATIVE INFORMATION
Permit Information
Permit Number:
Operation Name:
Permittee Information
Contact Person:
Company Name:
Street Address:
City:
State: Zip:
Phone: ( )
Email (optional):
Prospective Successor Information
Contact Person:
Company Name:
Street Address:
.............
City:
State:
Phone: )
Email (optional):
Zip:
COLORADO
DIVISI ON Of
RECLAMATION
MINING
SAFETY
Office of Office of
Mined Land Reclamation Denver • Grand Junct on • Durango Active and
Inactive Mines