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t5 01l qg p6z <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> LRA <br /> 1313 Sherman St.,Room 215 D O I ION N of <br /> Denver,Colorado 80203 � RECLAMATION <br /> Phone:(303)866-3567 S0' a MINING <br /> FAX:(303)832-8106 —SL— <br /> 111111 <br /> APPLICATION FORM rArpri.w <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION MAR 2 '" 2017 <br /> Divisio'i of Poclamation, <br /> Permit Information Muuri &Safety <br /> Permit Number: M-1998-052 <br /> Operation Name: Mascot Placer <br /> Permittee Information <br /> Contact Person: Russell A. Larsen <br /> Company Name: Everist Materials, LLC ,y �.,Iii► <br /> 28755 Highway Street Address: g y 9 !,r 4,2 izi1f <br /> City: Silverthorne IIS <br /> State: Colorado Zip: 80498 v <br /> 970 468-2521 I <br /> Phone: ( ) <br /> Email (optional): V n"pdc-e-0Y' <br /> ryw <br /> afi <br /> Prospective Successor Information ✓ t <br /> P e(4.( n/ z-/( <br /> Contact Person: Russell A. Larsen v v-- 7/22-((7 <br /> Company Name: Kilgore Companies)dba Peak Materials <br /> Street Address: 556 Struthers Ave <br /> City: Grand Junction <br /> State: Colorado Zip: 81501 <br /> Phone: ( 970 ) 242 -5370 <br /> Email (optional): russ.larsen@elamconstruction.com or jon.mueller@elamconstruction.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />