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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, N <br /> Department of Natural Resources M-1980-038 SON <br /> 1313 Sherman St.,Room 215 p O L 0o N QO <br /> Denver.Colorado 80203 RECLA1utATION <br /> Phone:(303)866-3567 Complied! 0 Violations Nt I N I NG <br /> FAX:(303)832-8106 P ---&.- <br /> 6 Minor Infractions LJWIthmlawa/sms SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION FEB 2 0 2021 <br /> DIVISION OF RECLAMATION <br /> Permit Information MININGAND SAFETY <br /> Permit Number: M-1980-038 <br /> Operation Name: Disappointment Valle <br /> Permittee Information <br /> Contact Person: Linda L. Beaman-Sublette <br /> Company Name: Barbara Ann Ebberts DIB/A Ebberts Construction <br /> Street Address: 9133 Highway 141 - PO Box 250 <br /> City: Egnar <br /> State: CO Zip: 81325 <br /> Phone: ( 970 ) 677-3036 <br /> Email (optional): ebberts.ronald(q-_)gmail.com <br /> Prospective Successor Information <br /> Contact Person: Steve Davis <br /> Company Name: Dolores County Road & Bridge Department <br /> Street Address: 8477 Rd 7.7 - PO Box 608 <br /> City: Dove Creek <br /> State: Co Zip: 81324 <br /> Phone: ( 970 ) 677-2328 <br /> Email (optional): rboffice@fone.net <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />