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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVE'] <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215COLORADO <br /> Denver,Colorado 80203 RA <br /> 1111026 DIVISION o f <br /> RECLAMATION <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 MINING <br /> � ��talt ETY <br /> wain SA <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-5 <br /> ADMINISTRATIVE INFORMATION JpUJLE <br /> Permit Information <br /> Permit Number: M 1989029 <br /> Operation Name: Longmont Distel Operations <br /> Permittee Information <br /> Contact Person: Travis Smith <br /> Company Name: Holcim - WCR, Inc. <br /> Street Address: 1687 Cole Blvd. Suite 300 <br /> City: Golden <br /> State: CO Zip: 80401 <br /> Phone: T20 ) 643-9339 <br /> Email (optional): travis.smithamrize.com <br /> Prospective Successor Information <br /> Contact Person: Travis Smith <br /> Company Name: Amrize West Central Inc. <br /> Street Address: 1687 Cole Blvd. Suite 300 <br /> City: Golden <br /> State: CO Zip: 80401 <br /> Phone: (720 )643-9339 <br /> Email (optional): travis@smith@amrize.com <br /> Office of <br /> Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />