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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> COLORADO <br /> 1313 Sherman St.,Room 215 DIVISION <br /> CLiv[ s ►o N OF <br /> Denver,Colorado 80203 $O-1 REAMATION <br /> Phone:(303)866-3567 JPL MINING <br /> FAX:(303)832-8106 SAFETY— <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND Cr . <br /> SUCCESSION OF OPERATORS <br /> JLr"{ Z022 DIV/c 2 , <br /> Mi�y�rr &SA RrYLA.MA-rjo <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M2016054 <br /> Operation Name: Irwin Thomas <br /> Permittee Information <br /> Contact Person: Chance Allen <br /> Company Name: Aggregate Industries-WCR, Inc. <br /> Street Address: 1687 Cole Blvd., Suite 300 <br /> City: Golden <br /> State: CO Zip: 80401 <br /> Phone: ( 720 )480-4563 <br /> Email (optional): chance.allen@holcim.com <br /> Prospective Successor Information <br /> Contact Person: Chance Allen <br /> Company Name: HOICim-WCR, Inc. <br /> Street Address: 1687 Cole Blvd., Suite 300 <br /> City: Golden <br /> State: CO Zip: 80401 <br /> Phone: ( 720 )480-4563 <br /> Email (optional): chance.allen@hoicim.COm <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />