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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RECEIVED <br /> 1313 Sherman St,Room 215 <br /> Denver:cobrado 80203 MAR 1 1 2024 <br /> Phone:(303)888-587 <br /> FAX:(303)832-8106 <br /> Colorado Division of Reclamation, <br /> Mining and Safety <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> - _ - - -- SO-3 <br /> ADMINISTRATIVE INFORMATION TA ITHM <br /> Permit Information <br /> Permit Numb, M-2001-001 <br /> Operation Name: Line Camp Pit <br /> Permittee Information <br /> Contact Person: Kathy Stone <br /> Company Name: Stone Sand & Gravel LLC <br /> Street Address: 12092 Hwy 145 PO Box 1568 <br /> City: Dolores Cortez <br /> State: Colorado Zip: 81323 81321-1568 <br /> Phone: P70 ) 759-W23 <br /> Email(optional): dkstone atoutlook.com (nabarton wastelineinc.net) <br /> Prospective Successor Information <br /> Contact Person: Tara McDonald, AP Manager <br /> Company Name: Smith's Materials LLC <br /> Street Address: 27701 Road T PO Box 215 <br /> city: Dolores <br /> state: Colorado Zip: 81323 (81323-0215) <br /> Phone: (970 )882-3399 <br /> Email(optional): smithsmaterials a)outkovk.com (nabarton@wastelineinc.net) <br /> Office of Office of <br /> Mined Land Reclamatlon Denver-Grand Junction-Durango Active and <br /> Inadive Mines <br />