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(-4 rAlL- <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832 -8106 <br />M 1,140-112- <br />STATE OF COLORADO <br />So � <br />COLORADO <br />D IV[ S ION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION RECEIVED <br />SEP 3 1) 2013 <br />Permit Information DIVISION OF RECLAMATION! <br />P�fININO P.�JD SF,FET'( <br />Permit Number: M- 1990 -112 <br />Operation Name: State Pit <br />Permittee Information <br />Contact Person: Steve Brown <br />Company Name: Lafarge West, Inc <br />Street Address: 10170 Church Ranch Way, Suite 200 <br />city: Westminster <br />State: Colorado Zip: 80021 -0021 <br />Phone: �03 ) 657 -4123 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: John P. Ary <br />Company Name: Fremont Paving & Redi -Mix Inc <br />Street Address: 839 MacKenzie Avenue <br />city: Canon City <br />State: Colorado Zip. 81212 <br />Phone: (119 )275 -1280 <br />Email (optional): <br />Nby- None <br />�r t4 �- 6 // <br />Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango <br />Inactive Mines <br />y <br />* �o <br />Office of <br />Active and <br />