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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> kPAN�Department of Natural Resources -,�,, ED <br /> 1313 Sherman St.,Room 215 tPRDLECLAMATION <br /> I o N of <br /> Denver,Colorado 80203 SEP 2,3 2022 <br /> Phone:(303)866-3567 <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-1 <br /> NCGIJDM <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M2004031 <br /> Operation Name: Hazeltine <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: Holcim-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 /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br />