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Energy <br /> REC E r P7 7) QB Energy Operating, LLC <br /> 143 Diamond Ave <br /> OCT ,1 • Parachute, CO 81635 <br /> Mobile 970.852.9819 <br /> Colorado Division c1 r._ _::....._:;, ESeymour@QB-Energy.com <br /> Mining and Safety <br /> October 1, 2024 RECEIVED <br /> OCT 1 1 2024 <br /> Colorado Division of Reclamation, Mining,and Safety <br /> Colorado Division of Reclamation, <br /> Attn: Travis Marshall Mining and Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver,Colorado 80203 <br /> Re: Request for Transfer of Mineral Permit and Succession of Operators Application <br /> West Fork Gravel Pit, Permit No. M2005-069 <br /> Dear Mr. Marshall, <br /> In accordance with the Land Reclamation Act for the Extraction of Construction Materials(C.R.S. §34-32.5-101), <br /> Caerus Piceance LLC,as the Permittee,and QB Energy Operating LLC,as the Prospective Successor,hereby submit <br /> the enclosed permit for your review and consideration. <br /> The submission includes the following documents: <br /> • One original,fully executed Application Form <br /> • A check for$144.00, representing the Application Fee <br /> • One original,fully executed Performance Warranty Form <br /> • A copy of the Financial Warranty Corporate Surety in the amount of$39,078.00(Bond Number <br /> 612423209) <br /> • A copy of the Surface Fee Deed recorded in the Garfield County Courthouse at Reception Number 999126, <br /> as evidence of Legal Right to Enter <br /> • One original,fully executed Structure Agreement <br /> If you have any questions or require further information,please feel free to contact me at(970)852-9819 or via <br /> email at eseymour@qb-energy.com. <br /> Respectfully, <br /> Ed Seymour <br /> QB Energy Operating LLC <br />