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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX (303) 832-8106 <br />STATE OF COLORADO <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: M-1978-116 <br />Operation Name: SM -18 Mine <br />Permittee Information <br />Contact Person: Ken Mushinski <br />Company Name: Cotter Corporation (N.S.L.) <br />Street Address: 7800 E. Dorado Place, Ste 210 <br />City: Greenwood Village <br />State: CO Zip: 80111 <br />Phone: ( ) 720.554.6207 <br />Email (optional): ken.mushinski@cotterusa.com <br />Prospective Successor Information <br />Contact Person: Joshua Bleak <br />Company Name: Highbury Resources Inc. <br />Street Address: 107080 South 1300 East, Suite 120 <br />City. Sandy <br />State: Utah Zip: 84094 <br />Phone: X385 )246-1250 <br />Email (optional): <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Office of office of <br />Mined Land Reclamation Denver • Grand Junction - Durango Active and <br />Inaction Minas <br />