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REV103218
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REV103218
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Entry Properties
Last modified
8/25/2016 1:14:01 AM
Creation date
11/22/2007 1:04:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979002
IBM Index Class Name
Revision
Doc Date
7/7/1999
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO1
Media Type
D
Archive
No
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<br />-2- • <br />II. ADMINISTRATIVE INFORMATION: <br />1. Permit Number: <br />2. Operation Name: <br />M-79-002 <br />North Delta Pit <br />3. Current Permitted Operator <br />Contact Person: <br />Company Name: <br />Street: <br />City: <br />State: <br />Area Code: <br />Stephen Corn <br />Corn Construction, Co. <br />P.O. Box 1240, 3199 D Road <br />Grand Junction <br />Colorado Zip Code: 81502 <br />9~o Telephone: 434-~3c1 <br />4. Successor Operator: <br />Contact Person: M.L. Tucxer <br />Company Name: western triobile, Inc. <br />Street: 1590 West 12th Ave <br />C7ty; Denver <br />State: coloraao Zip Code: Bozo4 <br />Area Code: 303 Telephone: 5s~-4329 <br />IRS Tax ID No. or Social Security No.: <br />5. Application Fee: $100.00 <br />Make check payable to the Division of Minerals and Geology <br /> <br />
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