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"q"klz *- <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1393 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />ml'qqp -ago <br />STATE OF COLORADO <br />S C) / <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />1)1VIS ION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />N0V 3 2013 <br />Permit Information �ivis' n of Reciamation, <br />Permit Number: M-1990 -098 'ping & Safety <br />Operation Name: Perry Pit <br />Permittee Information <br />M.L. Richardson <br />Contact Person: <br />Company Name: Asphalt Paving Company j-fJ � f <br />Street Address: 14802 W 44th Avenue tti� <br />city: Golden <br />State: Colorado <br />Phone: ( 303 ) 996 -7222 <br />zip: 80403 <br />A. <br />Email (optional): Mirichardson(51amus.com -TAc <br />Prospective Successor Information <br />Contact Person: Chad Linker <br />Company Name: Northern Colorado Constructors, ral <br />Street Address: 9075 Weld County Road 10 <br />�. /f I�q <br />4 �tAw -- m <br />city: Fort Lupton <br />state: Colorado Zip: 80621 <br />Phone:_( 303 ) 857-1754 <br />Email (optional): cpl @ncconstructors.com <br />Office of <br />Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />