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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> O L <br /> 1313 Sherman St.,Room 215 SO-1 D RA D <br /> p IV IS 1 ON OF <br /> Denver,Colorado 80203 HR1/MAC RECLAMATION <br /> Phone-(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> 3 <br /> ADMINISTRATIVE INFORMATION 4 QIWI OPR� ?�?3 <br /> c,�,o �j,T/�V <br /> Permit Information <br /> Permit Number: M-2003-058 <br /> Operation Name: Fairbanks Pit <br /> Permittee Information <br /> Contact Person: Jaime Sessions <br /> Company Name: Glenn E. Sessons & Sons, Inc. <br /> Street Address: 33492 Highway 125 <br /> City: Walden <br /> State: CO Zip: 80480 <br /> Phone: ( 970 ) 723-4944 <br /> Email (optional): Jaime sessions@yahoo.com <br /> Prospective Successor Information <br /> Contact Person: Tristan Koch <br /> Company Name: Corner Properties, LLC. <br /> Street Address: 2900 E. Apache St. <br /> City: Tulsa <br /> State: OK Zip: 74110 <br /> Phone: ( 734 )330-5988 <br /> Email (optional): tkoch@wearemoore.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />