REV94359

• Permit No: M1985023
• IBM Index Class Name: Revision
• Doc Date: 10/19/1998
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
M-85-023
Hollenbeck Pit
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
Dona13 Freder~ck Schmalz
P.O. Box 11051- 720 S. 8th St.
Gunnison
ColoradoZip Co e: 81230
970 Telephone: 6 1-20 14
4. Successor Operator:
COntdCt PerSOn: uuane E. Hollenbeck
Company Name: xollenhecl
Street: 66371 Riverside Road
City: Montrose
State: co lorado Zip Co e: 81401
Area Code: Telephone: [phone]
IRS Tax ID No. or Social Security No.
5. Application Fee: $100.00
Make check payable to the Division of Minerals and Geology