REV96919

• Permit No: M1974015
• IBM Index Class Name: Revision
• Doc Date: 5/20/1996
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

-z-
II
ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
M-74-015
Lyons Pit
(aka Rocking WP Pit)
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
Julie Goettemoeller
Western Paving Construction Co.
1590 W_ 12th Ave nne
Denver
co Zip Code: so2o4
303 Telephone: 65~-4s_1
4. Successor Operator:
COntdCt Per50n: Julie Goettemoeller
Company Name: w G n Mob~l ao„laer Tr~_
Street: 1590 W. 12th avenue
Clty: Denver
$tdte: CO Zip Code: 80204
Area Code: 303 Telephone: 65~-4331
IRS Tax ID No. or Social Security No.:
5. Apprication Fee: $100.00
Make check payable to the Division of Minerals and Geology