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"tA) K STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 cf/� I 0— '-J�10410 C O L O R A D O <br /> Denver,Colorado 80203 v `v J RECL SAMATION <br /> Phone:(303)866-3567 M I N I N G <br /> FAX:(303)832-81 fl6 5 (�� SA ET Y <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M2003003 ply <br /> Operation Name: AmZak PitA^A` <br /> Permittee Information '�ntiez- <br /> Contact Person: Joe KOZimor dN rvtd� ' <br /> Company Name: Consolidated Constructors, Inc. <br /> Street Address: PO Box 629/1370 Highway 371 <br /> city: Farmington <br /> State: N M Zip: 87499 R <br /> Phone: ( 505 a) 326-7771 or (505)326-7774 MY 2, <br /> Email (optional): _joek(d-)consolidatedconst.com <br /> Prospective Successor Information <br /> Contact Person: Dawn Richardson or Craig Kemble <br /> Company Name: Richardson Construction and Kemble Excavation Joint Venture <br /> Street Address: 3940 County Road 119 <br /> City: Hesperus <br /> State: Colorado Zip: 81326 <br /> Phone: ( )(970)759-8462 or (970)946-0023 <br /> Email (optional): pauldawn13@yahoo.com, kemblecraig@yahoo.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />