2008-10-09_PERMIT FILE - M2008009

• Permit No: M2008009
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/9/2008
• Doc Name: Succession of permit application
• From: Lyster Oil Company
• To: DRMS
• Email Name: THM
• Media Type: D
• Archive: No

RECEIVED
OCT 1 0 2006
Division of s.,?c,ainavon,
Mining and Safety
-'-
This form has beer: approved by the Mined Land Reclamation Board pursuant to sections 34-32-119, C„R-S" of the
Mined Land 12ec1amation _4ct and 34-3ZS-119, C-R-S, of Ike Colorado Land Reclan:adotr Act for the Enaction of
Construction Materials. Atry attcranon or modification of III is form shall result in voiding tray permit issued on the
altered or modified form and subject the operator to cease and desist orders and civil penalties for operating without a
permit pursuant to sections 34-32-123, C.B.S., of the Mined Land Reclamation Act and 34-325-123, C:B S., of the
Colorado Land Reclamadion Ate for the Extraction of Construction Materials
Applicant and Successor hereby request the State to consent to the assignment of the approved Perrnit Application to
recognize the Successor as tite approved Applicant twder the permitting process.
Name of Successor Applicant
13v
Signature of Officer
Title of Officer
STATE OF
COLUITY OF W. L'v101 ?Ct?" ) ss.
The foregoing instrument was acknowledged
NOTARY FOR PERMIT APPLICANT
NOTARY
% PUBLIC
?OF rn?0`?
me this day of _ 2? , jog, b,
of
ii I L)?L'
4OTA.1ZY
X"Y Commission expires: Z 7?p

STA'1';- OF
COUNTY Or ,
The foreaoittg instrument vas acknowledged before me this day of
as
of
NOT ARY PUBL.lt'
MY Commission expires:
by
£00/ £00'd 9ZO?i# Z6Z££ZZOL6 0t:ZT e0OZ'60'100
AN?/
Title of Officer