REV10784

• Permit No: M1988044
• IBM Index Class Name: Revision
• Doc Date: 6/4/2001
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO3
• Media Type: D
• Archive: No

~-
fI. ADMINISTRATIVE INFORMATTON:
1. Pnmit Numbs:
2. Operation Name:
3. Current Permitted Ooerator:
Contact Person:
Company Name:
Str«t:
City:
State:
Area Code:

M-1988-044
Coal Creek Resources
Scott Davis
Edward C. Levy Company d.b.a.
Centennial Materials, Inc.
2635 Delta Drive
Colorado Springs
CO 71p Code: 80910
719 Telephone: 392207
4, Successor Ooerstor:
Contact Person:
Company Name:
Str«t:
City.
State:
Area Cade:
IRS Ta~c ID No. or Social Security No.:
Scott Davis
Schmidt Construction Company
2635 Delta Drive
Colorado Springs
CO Zip Code: 80910
719 Telephone: [phone]

5. A_polication Fee: 5100.00 for Hard Rock operations; 5125.00 for Construction Materials
operations
DRake check payable to the Division of Minerals and Geology