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n� M %JkJA <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> C0LORADO <br /> 1313 Sherman St.,Room 215 p i v i s i ON OF <br /> Denver,Colorado 80203 tJ f RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS r7-1 Z-1 <br /> 1 <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M2016050 FEB 23 70"" <br /> Operation Name: C Road Pit Uivision of Reclamation, <br /> Miniq&Safety <br /> Permittee Information <br /> Contact Person: Alan Parkerson <br /> Company Name: Parkerson Construction, Inc. <br /> Street Address: 710 South 15th Street <br /> city: Grand Junction <br /> State: Colorado Zip: 81501 <br /> Phone: ( 970 ) 242-8134 <br /> 112v <br /> Email (optional): e- <br /> coon <br /> Prospective Successor Information ✓ r*,"w <br /> Contact Person: Russell A. Larsen / <br /> Company Name: Kilgore Companies LLC dba Elam Construction �a.�3-�� <br /> Street Address: 556 Struthers Avenue ems <br /> city. Grand Junction v U <br /> State: Colorado Zip: 81501 <br /> Phone: ( 970 ) 242-5370 <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />