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166 -7 Ivy <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 D IVIO L D I ON OF <br /> RA D O <br /> Denver,Colorado 80203 /• /+I / I! 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 /> ADMINISTRATIVE INFORMATION ti, <br /> / <br /> Permit Information r";`_'Co EIVED <br /> Permit Number: M-1987-164 <br /> Operation Name: Hayden Gravel Pit A 2017 <br /> Permittee Information Division of Reclamation, <br /> Mining&Safety <br /> Contact Person: Brandon Martin <br /> Company Name: Connell Resources, Inc. <br /> street Address: 7785 Highland Meadows Parkway, Suite 100 (�� <br /> City: Fort Collins <br /> State: Colorado Zip: 80528 ' Atiy <br /> ullif <br /> Phone: ( 970 ) 223-3151 �vIA "nt <br /> Email (optional): bmartin ,connellresources.com "'� <br /> tr18III <br /> Prospective Successor Information <br /> Contact Person: Jason Burkey <br /> Company Name: Oldcastle SW Group, Inc. dba United Companies <br /> Street Address: 2273 River Road <br /> City: Grand Junction <br /> State: Colorado Zip: 81505 <br /> Phone: ( 970 ) 243-4900 <br /> Email (optional): Jburkey@oldcastle-materials.com <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br />