2017-06-09_REVISION - M1980205

• Permit No: M1980205
• IBM Index Class Name: REVISION
• Doc Date: 6/9/2017
• Doc Name: Application
• From: Select Materials
• To: DRMS
• Type & Sequence: SO2
• Email Name: ECS
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION,MINING AND SAFETY
Departnent of Nalurel Resources n�
1313 Sherman St.,Room 215 V 11�� DIVISION O L O RA D
Denver,Cdorado 80203 OF
Phone.[phone] RECLAMATION
MINING
L A �N
FAX:[phone] --SL---
SAF ETY
APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
ADMINISTRATIVE INFORMATION
Permit Information
Permit Number: M 1980-205
Operation Name: Select Materials
Permittee Information
Contact Person: Robert D Oman by Ellen Oman �A , APprrfi
Company Name: Select Materials, LLC _
Street Address:
14510 CR 6 ECEIVcD
city: Ft. Lupton JU',l 0 9 20 i 7
State: CO Zip: 80621 L o Reclamation,
Phone: �03 ) 356-6234 0\1afncg&safety
Email(optional):
444
Prospective Successor Information J "104
Contact Person: Michael Leister , lv0 W�-e M�
Company Name: Leister Materials Limited DBA Select Materials f Anti 1
Street Address. 17269 CR 12 &W I a-(S b
city: Ft. Lupton , lo•Z'`�
State: CO Zip: 80621
Phone: 3 )857-4688
Email(optional): [e-mail]
Office of Office Of
Mined land Reclamation Denver•Grand Junction•Durango Acts and
Inactive Mines