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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 D O L O o N of <br /> Denver,Colorado 80203 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 /> RECEIVED <br /> ADMINISTRATIVE INFORMATION DEC 0 4 2024 <br /> DIVISION OF RECLAMATION <br /> Permit Information MINING AND SAFTEY <br /> Permit Number: M 1 980-047 <br /> Operation Name: Colony Oil Shale Project <br /> Permittee Information <br /> Contact Person: Ed Seymour <br /> Company Name: Caerus Cross Timbers LLC, a merged entity of Caerus Piceance LLC <br /> Street Address: 1001 17th Street, Suite 1600 <br /> City: Denver <br /> State: Colorado zip: 80202 <br /> Phone: R70 ) 852-9819 <br /> Email (optional): eseymOur(dCaerusoilandgas.COm <br /> Prospective Successor Information <br /> Contact Person: Ed Seymour <br /> company Name: QB Energy Operating, LLC <br /> street Address: 1001 17th Street, Suite 1600 <br /> City: Denver <br /> State: Colorado zip: 80202 <br /> Phone: P70 P52-9819 <br /> Email (optional): eseymour@QB-Energy.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />