2001-03-20_REVISION - M1992069 ‎(2)‎

• Permit No: M1992069
• IBM Index Class Name: Revision
• Doc Date: 3/20/2001
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-~-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:

Mai--oc~~
2. Operation Name:
3. Current Permitted Operator:
R~°~ ~ i n.~f- Uer,-fu ~ -
Contact Person: ~~-~ri C k Wa r-OL
Company Name: CA ~"~ A~ Cn~CrRlf'h , t~i~C,.
Street: ~1 (p 05 5 ~ ~(~~ ~~-.
State: ~ Zip Code: ~S
Area Code: ~ D,~ Telephone: ~~C '~ - ~ D'~d
4. Successor Operator:
Contact Person: ~~ Lk `Al !1 f`UC..
Company Name: i~nnrP~-~ ~rlluSfrlPS-WC R,TXICG,
Street:
City: `~Qt'ri~
State: Zip Code:
Area Code: Telephone:
[RS Tar ID No. or Social Security No.: X34 - Con - 4 ,~}D
5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials
operations
Make check payable to the Division of Minerals and Geology