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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources R C E IN1 0 <br /> 1313 Sherman St.,Room 215 C O L D RA D O <br /> Denver,Colorado 80203 MAY 2 Z022 D I RECLAMATION <br /> V I S I O N o f <br /> 1�SAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 DIVISION OF RECLAMATION, <br /> MINING &SAFETY-MINERALS SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-4 <br /> ACYITHM <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-2001-077 <br /> Operation Name: Piceance Pit <br /> Permittee Information <br /> Contact Person: Scott Marsh <br /> Company Name: Rio Blanco County <br /> Street Address: 570 2nd St. <br /> city: Meeker <br /> State: Colorado Zip: 81641 <br /> Phone: �70 ) 878-9590 <br /> Email (optional): scott.marsh(a_rbc.us <br /> Prospective Successor Information <br /> Contact Person: Chris Hurley <br /> Company Name: lHC Scott, Inc. <br /> Street Address: 10303 E. Dry Creek Rd., #300 <br /> City: Englewood <br /> State: Colorado Zip: 80112 <br /> Phone: (720 )490-7407 <br /> Email (optional): churley@ihcscott.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />