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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> CO:41�*, <br /> RAD <br /> 1313 Sherman St.,Room 215 DECp I ION Denver,Colorado 80203 / /� DEC 13 2016 REMATI <br /> Phone:(303)866-3567 �J>'U11 . J MINING <br /> FAX:(303)832-8106 DIVISION OF RECLAMATION SAFETY <br /> MINING AND SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND n� <br /> SUCCESSION OF OPERATORS �UAV <br /> '' <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-1981-207 RECEIVE <br /> Operation Name: Blue Pit <br /> DEC1 L, 2016 <br /> Permittee Information <br /> Contact Person: William Roberts Devc;r.,n of Reclamation, <br /> n a....�� o c..r,.a.. <br /> ..nnn y.,. <br /> Company Name: Western Slope Aggregates, Inc. <br /> Street Address: 0304 Highway 133 <br /> city: Carbondale <br /> State: Colorado Zip: 81623 <br /> Phone: 170 ) 963-1355 <br /> Email(optional): 4z' $1 0 <br /> Prospective Successor Information <br /> Contact Person: Sean Mello AZ11 3/F11-7 <br /> Company Name: Western Slope Materials,L,�.L N0 f <br /> Street Address: PO Box 1319 <br /> City: Carbondale <br /> State: Colorado Zip: 81623 <br /> Phone:1970 )963-2296 <br /> Email(optional): smello@ws-materials.com <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction•Durango Active and <br /> Inactive Mines <br />