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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 ' �� p O L Oi o N of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-2004-028 RECEIVED <br /> Operation Name: The Broyles Pit <br /> 212017 <br /> Permittee Information <br /> Joseph Febbraro rj1Jiyl0f1 of Rodamotlon, <br /> Contact Person: p m;„;gg&Safety <br /> Company Name: Febbraro Construction Co. <br /> Street Address: 2010 Santa Fe Trail <br /> city: Trinidad <br /> State: CO Zip: 81082 <br /> Phone:-( 719 ) 846-7789 /ffiq" <br /> Email (optional): febbraro construction(cD-hotmail.com tt2-C- <br /> Prospective Successor Information N ,�( or � <br /> Contact Person: Michele M. Eichler M( FAQ <br /> Company Name: Frederick V. Eichler IV and Michele M. Eichler gn_!u- &WI11I�( <br /> Street Address: 22250 CR 44 aw, 'RIU111 <br /> City: Aguilar <br /> State: CO Zip: 81020 <br /> Phone:-( 719 )941-4392 <br /> Email (optional): micheleeichler614@gmail.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />