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STATE 0 <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resoaroes <br />1313 Sherman St„ Room 215 0— (/J' <br />Denver, Colorado 8o2o3 <br />Phone: {3fl3) 866-3567 <br />FAX: 1303)832-8166 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMI <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATIOT <br />Permit Information <br />Permit Numb,r: M-2009-048 <br />Operation Name: Gunnison River Gravel Pits <br />Permittee Information <br />contact Person: Russel A Larsen <br />Company Name: Grand .function Concrete Pipe Co. <br />street Address: 556 Struthers Ave. <br />city; Grand Junction <br />State: CO zip: 81501 <br />Phone: 70 242-5370 <br />Email (optional): <br />Prospective Successor Information <br />contact Person: Mark Gardner <br />Company Name: Whitewater Building Materials C <br />Street Address: 940 South 10th Street <br />city: Grand Junction <br />State: CO Zip: 81501 <br />Phone: A970 ) 242-7'538 <br />Email (optional): mark@whitewater.construction <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />�i do <br />,'(a Colorado <br />Denver • Grand Junction • Durango <br />COLORADO <br />'AND <br />COLORADO <br />t]IV[814u OF <br />1tTBCLAMATION <br />MININ0 <br />SAFETY <br />RECE VEE <br />FEB 27 20119 <br />MON OF RECLAMAPON <br />MININGAND SAFETY <br />1 '$ 6 -WI <br />no MV <br />(� "VOL" fir' wit, b.k. <br />Office of <br />Active and <br />