REV01489

• Permit No: M1976020
• IBM Index Class Name: Revision
• Doc Date: 5/28/1996
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS - APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:

-2-
M-76-020
Thomas Pit
3. Current Permitted Operator:
Contact PerSOn:
Company Name:
Street:
City:
State:
Area Cooe:
David A. King
Animas Aggregates
601 Central Ave (PO .Box 788}
Dolores
Co Zip Code: 81323
970 Telephone: 882-7:?32
4. Successc~ !h+e~~to~:
Contact oe~son: David A. King
Cdnpany h~r~e: Mountain Gravel and (:onstruction Co.
Street: 601 Central Ave. (PCB Box 788)
City: Dolores
State: CO Zip Code: 81323
Area Code: 970 Telephone: 882-732
IRS Tax ID No. or Social Security No.:
5. Apprication Fee: $100.00
Make check payable to the Division of Minerals and Geology