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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 />STATE OF COLORADO <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />DIVISION OF <br />RECiAMATION <br />MINING <br />SAFETY <br />Permit Information <br />Permit Number: M -1990 -144 "Ete %� <br />Operation Name: Boone - Fillmore Pit ✓A/U 0 . <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 <br />Phone: X03 )657-4123 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: Ron Fillmore <br />Company Name. Lewis Fillmore <br />Street Address: P.O. Box 258 <br />city: Boone <br />State: Colorado <br />Zip: 80021 -0021 <br />zip: 81025 <br />Phone: (119 )568 -6712 <br />Email (optional): ronfill @hotmaii.com <br />MINjNGAND S y/4T /pN <br />eil <br />Office of <br />Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango Active and <br />Inactive Mines `� J <br />11K1 <br />