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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources S005 <br /> 1313 Sherman St., Room 215 D Iry I S o N of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 SA ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND V, I of�q- t1q7 <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-1979-097 <br /> Operation Name: East Rigden Pit <br /> Permittee Information <br /> Contact Person: Bill McDowell <br /> company Name: Cottonwood Land and Farms, LLC <br /> Street Address: P.O. Box 229 <br /> City: Boulder <br /> State: Colorado Zip: 80306 <br /> Phone: ( 303 ) 588-7735 <br /> Email (optional): whmcd999(d_)gmail.com <br /> Prospective Successor Information <br /> Contact Person: Cliff Hoelscher <br /> Company Name: City of Fort Collins tilities <br /> Street Address: 700 Wood St., P.O. Box 580 <br /> City: Fort Collins R1-:CEOVED <br /> State: Colorado Zip: 80522 <br /> Phone: (970 )222-3026 SEP 1 1 2014 <br /> choelscher fc ov.com ©jvjF;r,r <br /> Email (optional): g <br /> .Vb <br /> VkA F _ 8 L15- 12D/ 5_ <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br />