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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, ' 1AFETY <br /> Department of Natural ResourcF 2 (/,p <br /> , 701 `�3�� �6GD� �SIw � COLORADO <br /> 1313 Sherman St., Room D I V I S I O N o f <br /> Denver,Colorado 802, ��(/�' �' 7 a'b RECLAMATION <br /> Phone:(303)866-' MINING <br /> FAX:(303)832 qe S 2 —&— <br /> �/ SAFETY <br /> �QQ APPLICATION FORM <br /> QQ3 - e'OR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS RECEIVE—,, <br /> C,o�Q <br /> Q��°� APR 2 7 2018 <br /> ADMINISTRATIVE INFORMATION WSION OF RECLAMAr,. <br /> MINING AND SAFE7. <br /> Permit Information <br /> Permit Number: M2003003 <br /> Operation Name: AmZak Pit <br /> Permittee Information <br /> Contact Person: Joe KOZimor <br /> Company Name: Consolidated Constructors, Inc. <br /> Street Address: PO Box 629/1370 Highway 371 <br /> city: Farmington <br /> State: N M Zip: 87499 2- <br /> Phone: ( ) 505-326-7771 fax 505-326-7774 x ,� 44,rW 41 zy <br /> Email (optional): joek �consolidatedconst.com "Arswl <br /> 2 0 p <br /> Prospective Successor Information PW <br /> Contact Person: Dawn Richardson or Craig Kemple awh.,kt., <br /> "rvyto 11(.1b7 <br /> �W ompany Name: Richardson Construction Co. LL & Kemple Excavation, LLC Aut- 71;�1« <br /> 3940 C.R. 119 <br /> Street Address.. V/VD &1 <br /> city: Hesperus <br /> thy` State: Colorado Zip: 81326 <br /> Phone: ( )970-759-8463 or 70-946-0023 W <br /> Email (optional): pauldawn13@yahoo.com, kemplecraig@yahoo.com <br /> Permit contact: Nathan A. Barton, WASTELINE, Inc. (605)939-0650 631 @gmail.com <br /> Office of (yip kb Wv Rg612. Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />