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.``J'-. __ „' .- -.., . ~....: ~ # III IIIIIIIIIIIII III , <br />STATE OF COLUKADO <br />MINED LAND RECLAMATION DIVISION <br />oapartmemolNaturelReeourdc RECEIVED F'~;°° <br />7373 Snerrnan 57., Room 275 ~~ <br />Demror.CO6o203 JUN 08 1995 •;~8j: <br />303 866.3567 ~ • rsv6 <br />F~x:303 632-6706 <br />Division of Mmerais & Geology ~R~ r. <br />FreE R. Banta. <br />Uviuon Dircctior <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators must contain three <br />(3) mayor parts: 1) an Application Form; 2) a Performance Warranty (attached as part of <br />the Application Package) bearing thr original notarized 5lgnature of the Successor <br />Operator; and, 3> a replacement Financial Warranty (for the amount maintained by the <br />current permittee) provided by the Successor Operator, bearing an original notarized <br />signature. 7o expedite processing, please provide the Information in the format and <br />order described below. ~~- ,~~~ ~Z~~/ <br />I. ADMINISTRATIVE INFORMATION <br />~ -~~ <br />1. Permit Number: M-80-112 <br />2. Operation Name: Richard Bachmann Pit <br />3. Current Permitted Operator: <br />Contact Person: Richard A. Bachmann <br />Company Name: . <br />Street: 909 Poydras St. P.O. Box 60350 <br />City: New Orleans <br />State: LA Zip Code: 70160 <br />Area Code: 504 Telephone: 566-6500 <br />4. Successor Operator: <br />Contact Person: Richard D. Ullom <br />Company Name: Rio Blanco County <br />Street: P.o. Box KK s7o - 2na st. <br />City: Meeker <br />State: Co Zip Code: 81641 <br />Area Code: 303 Telephone: 878-5601 <br /> <br />5. Application Fee: E100.00 <br />