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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> COLORAD0 <br /> 1313 Sherman St.,Room 215 SO-2 <br /> D I V I S I O N o f <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 O NCG/AME MINING <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> (bG SUCCESSION OF OPERATORS RECEIVED <br /> ADMINISTRATIVE INFORMATION DEC 14 2023 <br /> Colorado Division of Redamdon, <br /> Wining and Safety <br /> Permit Information <br /> Permit Number: M-1992-038 <br /> Operation Name: Sand Creek Mine <br /> Permittee Information <br /> Contact Person: nnlnres I Pa1i77i <br /> Company Name: Jones Fine Sand <br /> Street Address: 12070 Cherry St. <br /> City: Thornton <br /> State: CO Zip: 80241 <br /> Phone: ( 303 ) 908-9602 <br /> Email (optional): healingpath.ds@gmaiI.com <br /> Prospective Successor Information <br /> Contact Person: Calvin Kelley <br /> Company Name: 4K Equipment, LLC <br /> Street Address: 6201 McIntyre St. <br /> City: Golden <br /> State: CO Zip: 80403 <br /> Phone: 303 ) 279-4150 <br /> Email (optional): ckelley kti-usa.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />