2023-02-03_REVISION - M1984094

• Permit No: M1984094
• IBM Index Class Name: Revision
• Doc Date: 2/3/2023
• Doc Name: Request For Succession Of Operator
• From: South Park Aggregates, LLC
• To: DRMS
• Type & Sequence: SO5
• Email Name: ERR
• Email Name: MAC
• Email Name: SMS
• Email Name: AWA
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY R E C E I V E n
Department of Natural Resources
FEB0 3 2023 C V I S 1 0 N O
1313 Sherman St.,Room 215 t v i s i o N o f
Denver,Colorado 80203 RECLAMATION
Phone:[phone] DIVISION OF RECLAMATION, MINING
FAX:[phone] MINING &SAFETY-MINERALS SAFETY
APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
ADMINISTRATIVE INFORMATION SO-5
ERR/MAC
Permit Information
Permit Number: M
Operation Name:
Permittee Information
Contact Person:
Company Name: G LC_
Street Address:
City: y1 Aa, �I•e
State: Z arc_ ;G ,,u Zip: 7enoz�_�
Phone: ( 5vy ) eZ 7 Z
Email (optional):
Prospective Successor Information
Contact Person: Sc ;/ L'�
Company Name:
Street Address: 6 4 7-
Cit
State: Zip: ;9p l vs.
Phone: ( q70 ) 9Gy-6io�
Email (optional):
Office of Office of
Mined Land Reclamation Denver•Grand Junction•Durango Active and
Inactive Mines