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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 COL R A D O <br /> DIVIS S ION O F <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR T"NSFER OF MINERAL PERMIT AND <br /> y/SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-2004-022 <br /> Operation Name: Raindance Sand and Gravel Mine <br /> Permittee Information <br /> Contact Person: Jim GOchis <br /> Company Name: Alpine Demolition, LLC <br /> Street Address: 5790 West 56th Avenue, Unit C <br /> City: Arvada <br /> State: CO Zip: 80003 <br /> Phone:-( 303 ) 421-3366 RECEIVED <br /> Email (optional): <br /> UN 10 2014 <br /> Prospective Successor Information DIVISION OF RECLAMATION <br /> Contact Person: Cody Wooldridge MINING AND SAFETY <br /> Company Name: Raindance Aquatic Investments, LLC �i �� �'`�� <br /> Street Address: 1625 Pelican Lakes Point, Suite 201 <br /> City: Windsor <br /> State: CO Zip: 80550 <br /> Phone:.( 970 )686-5828 <br /> Email (optional): cwooldridge@watervalley.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />