REV94575

• Permit No: M1980003
• IBM Index Class Name: Revision
• Doc Date: 11/14/1996
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-5-
Permittee and Successor hereby request the State to consent to the assignment
of the Permit, to recognize Successor as Successor Operator under the Permit,
and to accept the tendered substitute Performance antf Financial Warranties in
place of the Warranties presently on file with the State.
PFRMTTTFF
John A. c McNulty
Name of Permittee
g ~~ (}~c~
y
Sign ure of Officer
John A. McNulty, deceased, by Elana
McNulty, as Personal Representative
The Estate of John A. McNulty
Title of Officer
NOTARY FOR PERMITTEE
State of ~LJ~.A~D )
County of ~~zK.~~ )
SUCCESSOR OPERATOR
T
h
e foregoing instrument was acknowledged before me this ~~ day
/
~
Of VG~1~4-/' 1996, by Elana McNulty
aS Personal Re
NOTARY FOR SUCCESSOR
Of The Estate of John A. McNulty
iyOlp~
..~, :O ~
~~~a Notary Public
~?~}N My Commission Expires Yb
State of (ii)W,egDO )
County of ~,~~~ ~ )
-fl`
The foregoing instrument was acknowledged before me this o2 S' day
Of D~rO,~,l:/L 1996 by Sarah Lillian McNulty
as
of
r 1~
Notary Public ~~7
My Commission Expires _ 3