2000-03-23_REVISION - M1984099 ‎(3)‎

• Permit No: M1984099
• IBM Index Class Name: Revision
• Doc Date: 3/23/2000
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO3
• Media Type: D
• Archive: No

II. ADMINISTRATIVE INFORMATION:
1. Permit Number: M84-099
2. Operation Name: Bailey Pit
3. Current Permitted Operator:
Contact Person: Jeff Gregg
Company Name: Hall-lrwin Construction Company
Street: P.O. Box 519
City: Greeley
State: Colorado Zip Code: 80631
Area Code: 970 Telephone: [phone]
4. Successor Operator:
Contact Person: Doug Tiefel
Company Name: Goose Haven Sand & Gravel, Inc.
Street: P.O. Box 17130
City: Boulder
State: Colorado Zip Code: 80308
Area Code: 303 Telephone: [phone]
IRS Tat ID No. or Social Securitv No.: ��4
5. Application Fee: $100.00
Make check payable to the Division of Minerals and Geology