REV04419

• Permit No: M1992054
• IBM Index Class Name: Revision
• Doc Date: 2/26/2001
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No.
5. Application Fee
T k r~tT..Ta„n -
& T av 1 Prods s Tnr.
27661 US Hwv. 160F
Durango
CO Zip Code: 81301
970 Telephone: [phone]
Walter Bumo
Fesco.lnc.
5500 US Hwv 64
Farmineton
NM Zip Code: 87402
505 Telephone: [phone]
Or
$100.00
Make check payable to the Division of Minerals and Geology