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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVED <br /> Department of Natural Resources it Y <br /> SEP 292025 COLORADO <br /> 1313 Sherman St.,Room 215 DIVISION o e <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 Colorado Division of Reclamation, — <br /> N'iining and Saftey SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-3 <br /> JLC/AME <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M1994-092 <br /> Operation Name: Iron Mountain Road Gravel Pit <br /> Permittee Information <br /> Contact Person: Bennie Koch, Jr. <br /> Company Name: Rocky Mountain Excavating, LLC <br /> Street Address: 2976 L Path <br /> City: Cotopaxi <br /> State: CO Zip: 81223 <br /> Phone: 719 ) 942-4311 <br /> Email (optional): koch_sjk@yahoo.corn <br /> Prospective Successor Information <br /> Contact Person: Nicole Martin <br /> Company Name: Colorado Quarries Inc. <br /> Street Address: 270 S 15th Street <br /> City: Canon City <br /> State: CO Zip: 81212 <br /> Phone: (719 )275-6894 <br /> Email (optional): nicole@coloradoquarries.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />