REV89032

• Permit No: M1979166
• IBM Index Class Name: Revision
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO4
• Media Type: D
• Archive: No

.,_
ADMINISTRATIVE INFORMATION:
l . Permit Number:
2. Operation Name:
3. Current Permitted Ouerator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street.
Cirv:
State:
Area Code:
IRS Tax ID No. or Social Security No.:

~ M-79-/Gb
BENNETT'S GRAVEL PIT
EARL BENNETT
BENNENTT'S ROCK AND WOOD
1470 HIGHWAY 50
DELTA
COLORADO Zip Code: 81416
(970)8~i~~; 874-4835
THOMAS A. LOGUE
ELAM CONSTRUCTION, INC.
1225 SOUTH SEVENTH STREET
GRAND JUNCTION
COLORADO Zip Code: 81501
(970) Telephone: [phone]

5. Aoolication Fee: $100.00
Make check payable to the Division of Minerals and Geolo¢y