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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFELY <br /> Department of Natural Resources r� �y �g <br /> 1313 Sherman St.,Room 215 SE` 2 8 ZaG4. p O L O a N DO <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 DIVISION OF RECLAMATION MINING <br /> FAX:(303)832-8106 MINING&SAFETY-MINERAL —&- <br /> 5AF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-3 <br /> ADMINISTRATIVE INFORMATION NCGIJDM <br /> Permit Information <br /> Permit Number: M 1994093 <br /> Operation Name: Dahlia North <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@holcim.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction-Durango Active and <br /> Inactive Mines <br />