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Y <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 COL AA D <br /> DIVIS S ION 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 /> RECEIVED <br /> Permit Information <br /> Permit Number: M-1998-058 APR 00 2017 <br /> Operation Name: Tellier Gravel Pit Umplon of Rodimption, <br /> Permittee Information Mining&safety <br /> Contact Person: Brandon Martin <br /> Company Name: Connell Resources, Inc. <br /> street Address: 7785 Highland Meadows Parkway, Suite 100 <br /> city: Fort Collins <br /> State: Colorado Zip: 80528 112 e <br /> Phone:-( 970 ) 223-3151 �� <br /> Email (optional): bmarti n(@_con nel I resources.corn ✓� <br /> Prospective Successor Information <br /> Contact Person: Jason Burkey ✓ �� �/3'tJ�17 <br /> Company Name: Oldcastle SW Group, Inc. dba United Companies ft <br /> Street Address: 2273 River Roadv <br /> city: Grand Junction <br /> State: Colorado Zip: 81505 <br /> Phone:J 970 ) 243-4900 <br /> Email (optional): lburkey@oldcastle-materials.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction-Durango Active and <br /> Inactive Mines <br />