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ty) Int/ <br /> IOC <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources D <br /> s <br /> 1313 Sherman St.,Room 215 COLORADO <br /> DIVISION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —St— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS DO-A4LettAIG <br /> iAR <br /> ADMINISTRATIVE INFORMATION Digision of Reclamation, <br /> Mining&Safety <br /> Permit Information RECEIVED <br /> Permit Number: M-1986-079 AUG 1 4 Z017 <br /> Operation Name: M&G Pit <br /> :.n of Reclamation, <br /> Permittee Information .. 'A Safety • <br /> Contact Person: Clay Carlson <br /> Company Name: Mann Resources, LLC <br /> Street Address: P.O. Box 247 <br /> City: Eastlake 112 <br /> State: CO Zip: 800614 a1, t�� <br /> 54,k t uu Wit 5 <br /> Phone: ( 303 ) 457-2966 <br /> T <br /> Email (optional): clay@carlsonland.net V1'. <br /> it pa iwAti <br /> Prospective Successor Information <br /> Contact Person: Joseph M. O'Dea g,1•-t1 <br /> �l <br /> Company Name: Mann Lake Holdings, LLC , 8,3-12 <br /> Street Address: 2027 W. Col f ax Avenue JW19,L4 <br /> City: Denver V <br /> State: CO Zip: 80204 <br /> Phone: ( 303 ) 562 .2000 <br /> Email (optional): j odea@ceiconstructors .corn <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />