2018-08-06_REVISION - M2006017

• Permit No: M2006017
• IBM Index Class Name: REVISION
• Doc Date: 8/6/2018
• Doc Name: Application
• From: Sand Acq/Hourglass
• Type & Sequence: SO4
• Email Name: TC1
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
13 Sherman St., Room 215 COL RA D
p I V I S 1 ION OF
Denver,Colorado 80203 RECLAMATION
Phone:[phone] �\/ �^ A_ MINING
FAX:[phone] SAFETY
APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
ADMINISTRATIVE INFORMATION
Permit Information
Permit Number:
M-2006-017 RECEIVED
Operation Name: Jemadojin Mine .II II 10 2018
Permittee Information Division of Reclamation,
Contact Person: W. Aaron Bowlds Mining&Safety
Company Name: Sand Acquisition Holdings, LLC
Street Address: 3033 E. 1 st Ave, Suite 837
City: Denver i►��.
.lam
State: CO Zip: 80206
Phone: ( 720 ) 883-2966
Email (optional): a bowl dsCc-_)thorough bred Ip.corn
L/Y�i
Prospective Successor Information (✓ 4 % '/�ti1 v
Contact Person: Lawrence D. Martin
Company Name: Hourglass Sands, LLC `-
Street Address: 1183 E. Canvasback Dr.
city: Terre Haute
State: I N Zip: 47802
Phone: ( 812 ) 299-2800
Email (optional):
Office of Office of
Mined Land Reclamation Denver•Grand Junction•Durango Active and
Inactive Mines