REV92288

• Permit No: M1978305
• IBM Index Class Name: Revision
• Doc Date: 3/20/2001
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO3
• Media Type: D
• Archive: No

.,.
II. ADfyIiMSTRATIVE INFOIL~L4TTOiY:
M-1978-305
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City.
State:
Area Code:
Dickerson Pit
Warren Wilcox
-Sally Wilcox dba Gunnison Gravel
P.0. Box 42
4. Successor Ocerator:
Contact Person:
Compaoy Name:
Street:
City:
State:
Area Code:
IRS Tae ID No. or Social Security No.:
Gunnison
Co Zip Code: 81230
970 Telephone: [phone]
Warren Wilcox
Warren & Sally Wilcox dba Gunnison Gravel &
P.0. Box 42
Gunnison
CO Zip Code: 81230
970 Telephone: [phone]

~. Anolication Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials
operations
Make check payable to the Division of Murerals and Geology