PERMFILE46195

• Permit No: M1980110
• IBM Index Class Name: Permit File
• Doc Date: 8/25/1999
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Media Type: D
• Archive: No

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ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Oceratoe
Contact Person:
Company Name:
Street:
City:
L~
M-so-llo
Henderson Development
Glenn Bettis Jr.
Colorado Sand- 6 Graval'Cn.
10014 Allison Street
Broomfield
State: Colorado ZlpCode: 80021
Area Code: 303 Telephone: [phone]
4. Soceesaor Qp~rator.
Contact Person: D. Michael Callis
Company Name: E-470 Public Highway Authority
Street: 22470 E. 6th Parkvav
City: Aurora
State: Colorado Zip Code: 80018
Area Code: 303 Telephone: [phone]
IRS Tax ID No. or Social Security No.: N/A
5. Appliratiou Fee: $100.00
Make check payable to the Division of Minerals and Geology