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STATE OF COLORADO <br /> DIVISICN Or RECLAMATION,MIN'.NG AND SAFE i l' <br /> Cecartr-ert of Naturaf Resoures <br /> ?3?3 S"er^an S,. Rocm 2'S C O L O R A T3 f? <br /> Denver Ccicraco 202C3 i t vT i I o v c <br /> Phone:(3C3i E63-3c:e7 <br /> FAX.(303�832-31,3E SAFETY <br /> APPLICATIUS FORM <br /> FOR TRANSFER OF MINERAL PER-N- 11T -AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Pe.nn't Numc,er: M-2013-05 4 <br /> Ocera,:o x . amne: Cotton Creek Pit <br /> Permi-.tee Information <br /> Contac-Person: hen Skoglund <br /> Cc,.-,:�an Narre: Skogiund Excavating Inc. <br /> S:reet A;:dress: 1075 Broadway Street <br /> cif": Moffat <br /> state: Colorado Z,r: 81143 <br /> Pr.,;-i: f '19 1 2=--4447 <br /> Email a tional -4 <br /> Prospective Successor Information <br /> Contact Person: Michael J. Slattery <br /> Comparti tiame: Kiana Holdings 11, LLC <br /> Street Address: 3450 Big Bear Drive <br /> Cit,: Sedalia <br /> State: Colorado Zip: 80135 <br /> Phone: (360 ) 930-4792 <br /> Email (optional): slatterymjs@gmail.com <br /> Office of Office of <br /> Turned Land Reclamation Denver•Grard Junction Durango Active and <br /> inactive Mines <br />