2000-06-14_REVISION - M1978208

• Permit No: M1978208
• IBM Index Class Name: Revision
• Doc Date: 6/14/2000
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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[l. ADMINISTRATIVE INFORMATION:
1. Permit Number: M-78-208
2. Operation Name: Shaffers Crossing
3. Current Permitted Operator:
Contact Person: Larry A. Nelson
Company Name: L.N, Properties, Inc.
Street: 468 S. Dudley St.
City: Lakewood
State: Co Zip Code: 80226
Area Code: 303 Telephone: [phone]
4. Successor Operator:
Contact Person: William S. Peterson
Company Name: Aspen Enterprises
Street: 12383 Wamblee Valley Rd.
City: Conifer
State: Co Zip Code: 80433
Area Code: 303 Telephone: [phone]
IRS Tar ID No. or Social Security No.: 523-49-5260
5. Application Fee: $100.00
Make check payable to the Division of Minerals and Geology