PERMFILE47693

• Permit No: M1997058
• IBM Index Class Name: Permit File
• Doc Date: 5/3/2000
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Media Type: D
• Archive: No

~

•z-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
M-1997-058
Baseline Resource
2. Operation Name:
3. Current Perutitted Operator:
Contact Person:
Company Name: -
Street:
Ciry:
State:
Area Code:
4. Successor Operator:
Jeff Gregg, Vice President
Ha]1-Irwin Construction Company
3026 4th Avenue
Greeley
CO Zip Code: 80631
970 Telephone: [phone]
Contact Person: Jeff Gregg, `Dice President
Company Name: Hall-Irwin Corporation
Street: 3026 4th Avenue
Ciry: Greeley
State: CO Zip Code: 80631
Area Code: 970 Telephone: [phone]
IRS Tax ID No. or Social Security No.:
5. Application Fee: 5100.00
Make check payable to the Division of Minerals and Geology