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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 RA D <br /> p I V I S I O N OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-35673 MINING <br /> FAX:(303)832-8106 —�t— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-2008-078G9�� <br /> Operation Name: West Farm Pit RECENE <br /> Permittee Information JUN 3 0 2016 <br /> Contact Person: Jay Nielson DWIsion 6f pdd&H&#ffli <br /> Crossfire Aggregate Services LLClpw & <br /> Company Name: <br /> Street Address: 820 Airport Road <br /> city: Durango <br /> State: Colorado Zip: 81303 <br /> Phone: ( ) 970-884-4869 tJ <br /> ✓ rtI fiYL� h-(' ✓vl <br /> Email (optional): jay.nielson�D_crossfire-llc.com b� C A'It "n 4v- 3✓2��/(, <br /> 1614 Gam. d I -1 I t-7 <br /> Prospective Successor Information <br /> Contact Person: K ten.%,- /\1 i Qy L Vf <br /> Company Name: ��,o�,�G,n.S A(�C'xse;A-rE <br /> Street Address: 22,1 ( Skg r�C,ti �,f2�c i ��{ S V rr�, Zp 0 <br /> City: L I-ri- To'j <br /> State: if C) Zip: cg 01 Z 7 <br /> Phone: ( 3y3 ) 3 641 - 510 0 <br /> Email (optional): /GA-kt L- e+,yI e3_ CAM <br /> Office of Office of <br /> t Land Reclamation Denver-Grand Junction-Durango Active and <br /> >.Mines <br />