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s5 "(E,09'" <br />n 14 Z 7 -0 to <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 C) <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />rGL ✓fr,/J ?� <br />A)# IV <br />r' M5 - APif'iV�'f <br />� � n <br />Permit Information <br />Permit Number: M1977-098 )t4, 2 H <br />Operation Name: Sievers Pit I`j4-e- <br />Permittee Information <br />Contact Person: Terry Raney <br />Company Name: Lafarge West, Inc. <br />Street Address: 8700 Bryn Mawr Ave., Ste 300 <br />City: Chicago <br />State: Illinois zip: 60631 <br />Phone: ( 303 ) 588 -6566 <br />Email (optional): terry. raney &lafarge.com <br />Prospective Successor Information <br />Contact Person: Jason Burley <br />Company Name: Oldcastle SW Group, Inc. <br />Street Address: 2273 River Road <br />city: Grand Junction <br />state: Colorado <br />Phone: ( 970 ) 243 -4900 <br />zip: 81502 <br />Email (optional): ;hiIfke4Q,h613CAJ yL imA; ff14LS . �,n1 <br />N o,f , Na-" <br />15 AZ0141 <br />Office of Office of <br />Mined Land Reclamation Denver - Grand Junction • Durango Active and <br />Inactive Mines <br />