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S J'M /6A;4 <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 />STATE OF COLORADO <br />so 0 ?- <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: M2000 -113 <br />Operation Name: Mamm Creek Sand & Gravel <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 a()lafarge.com <br />Prospective Successor Information <br />Contact Person: Jason Burkey <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 />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />r� <br />Email (optional): ; f,u�%CeH�i�c7CAf1c EnIAT�2iA�l • Ga+l� <br />k4we- lo9q 2dly <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />Denver • Grand Junction • Durango <br />Office of <br />Active and <br />