REV00800

• Permit No: M1978279
• IBM Index Class Name: Revision
• Doc Date: 4/24/1997
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATOR APPLICATION FORM
• Type & Sequence: SO2
• Media Type: D
• Archive: No

II. ADMINISTRATIVE INFORMATION
1
2
3
PERMIT NUMBER:
OPERATION NAME:
Current Permitted Operator:
Contact Person:
Company Name:
Street:
city:
State:
Area Code:
Q. SuCCeSSOr Operator:
Contact Person:
Company Name:
Street:
city:
State:
Area Code:

-2-
M-78-279
Goldman Gravel Pit
Albert R. Frei
Albert Frei and Sons, Inc.
11521 Brighton Road
Henderson
CO zip code: 80641
(303) Telephone: [phone]
Fred Frei
Flao Resources, Inc.

1412 311 Road

New Castle

CO Zip Code: 81647

(9701 Telephone: [phone]
5. Application Fee: $100.00
Make check Payable to the Division of Minerals and Geology