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<br />~ III IIIIIIIIIIIII III <br />STAT~OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />133 Sherman St.. Room 215 <br />Denver, CO 80203 <br />303 8663567 <br />Fa x: 303 832-8706 <br />d ~ ~ <br />N~~ <br />FEB 1 81993 ~~ 8~ <br />'rave ` <br />Roy Romer, <br />MINEn.,t_5 8 u~v~C)GY G°vemor <br />Freo R. Banta. <br />Di~~a~on Dircttor <br />TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS <br />APPLICATION FORM <br />The application for a Transfer of Permit and Succession of Operators must contain three <br />(3) major parts: 1) an Application Form; Z) a Performance Warranty (attached as part of <br />the Application Package) bearing the original notarized signature of the Successor <br />Operator; and, 3) a replacement Financial Warranty (for the amount maintained by the <br />current permittee) provided by the Successor Operator, bearing an original notarized <br />signature. To expedite processing, please provide the information in the format and <br />order described below. <br />Sc~ -oo/ <br />I. ADMINISTRATIVE INFORMATION <br />N.o-~. ~v <br />1. Permit Number: 80-080 <br />2. Operation Name: una Pit <br />3. Current Permitted Operator: <br />Contact Person: Larry B. Beckner <br />Company Name: Gsw Builders, Inc. <br />Street: 850 Valley Federal Plaza <br />City: ~r~R~.J+x+~i•eR-f 69 X1591 <br />State: Zip Code: <br />Area Code: 03 Telephone: 245-4300 <br />4. $UCCe550r Operator: <br />Contact PerSOn: Edward J. Settle <br />Company Name: Grand Junction Pipe & Supply Comnanv <br />Street: P. 0. Box 1849 <br />City: Grand Junction <br />State: Colorado Zip Code: 81502 <br />Area Code: 303 Telephone: 243-4604 <br />IRS lax ID No. or Social Security No.: <br />5. Application fee: $100.00 <br />