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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 <br />Denver. Conrado 80203 <br />Pnone: (303) 866-3567 <br />FAX. (303) 832-8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINIS IRATIVE INFORMATION <br />Permit Information <br />Permit Number: M2008-001 <br />COLORADO <br />n i v l s i o n o f <br />RECLAMATION <br />MINING <br />SAFETY <br />Operation Name: Blue Grass Gravel Pit <br />Permittee Information <br />Contact Person: John Sliman <br />Company Name: <br />Southwest Farms, Inc. <br />Street Address: 1825 Chianti Ct. <br />City: <br />Pueblo <br />State: Colorado Zi 81001 <br />p: <br />Phone: ( 719 240-2575 <br />Email (optional): jfs57@comcast.net <br />r <br />eVAi <br />0. 2015 <br />i {m fiofl, <br />piety <br />aPY <br />JViO/"'t- <br />A: n {' <br />Prospective Successor Information i t t' : <br />Contact Person: Anthony Adza <br />Company Name: EWSD I, LLC N f;L� �c''�t— <br />ia 2teeM 03 ,/of P <br />Street Address: 600 Wilshire Blvd.,' ' �✓ '� U� jVj i' ( Tn <br />City: <br />Los Angeles <br />State: Califon <br />Phone: ( 949 <br />) 236-9206 <br />Email (optional): aadza@medbox.com <br />Office of <br />Mined Land Reclamation DRnvar • Grand .kinetin • Dimannn <br />Office of <br />15.14 41.2 and <br />