2015-01-22_REVISION - M2013007

• Permit No: M2013007
• IBM Index Class Name: REVISION
• Doc Date: 1/22/2015
• Doc Name: Application SO01
• From: Rocky Mountain Aggregate & Construction, LLC
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY O
Department of Natural Resources
1313 Sherman St., Room 215 v ^
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Denver, Colorado 80203 "2- DIVISION OF
Phone: [phone] �� GZ KA 10 — C ;RECLAMATION
FAX: [phone] M
SAFETY
RECEIVED APPLICATION FORM
:.rnJ G 04101' U-r6- FOR TRANSFER OF MINERAL PERMIT AND
JAN 2 2 2015 SUCCESSION OF OPERATORS
DNISION OF RECLAMTION
MINING AND SAFETY ADMINISTRATIVE INFORMATION
Permit Information
Permit Number: I V \
Operation Name: V I U
Permittee Information
Contact Person: •ZhALE
Company Name:A�
Street Address:
City: �N c
State: Zip:
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Email (optional):
Prospective Successor Information
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City:
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Address: S�
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State: nC0 Zip: L10
Phone: ('7 %) 'Iq— ��Afl
Email (optional):
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Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and
Inactive Mines