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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, h <br /> Department of Natural Resources 't�,i-1 980-038 soot <br /> 1313 Sherman St.,Room 215 11Yl 1 V VJO �7 V 1 COL O R A D O <br /> p i Y l $ION O f <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 Com lied! 0 Violatlons MINING <br /> FAX:(303)832-8106 P --�- <br /> 6 Minor Infractions LJW/thin./awa/sms SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION FEB 2 6 2021 <br /> DIVISION OF RECLAMATION <br /> Permit Information MINING AND SnFv`W <br /> Permit Number: M-1980-038 <br /> operation Name: Disappointment Valle <br /> Permittee Information <br /> Contact Person: Linda L. Beaman-Subiette <br /> Company Name: Barbara Ann Ebberts D/B/A Ebberts Construction <br /> Street Address: 9133 Highway 141 - PO Box 250 <br /> City: Egnar <br /> State: CO Zip: 81325 <br /> Phone:-( 970 ) 677-3036 <br /> Email (optional): ebberts.ronaId(a'-)g mail.com <br /> Prospective Successor Information <br /> Contact Person: Steve Davis <br /> Company Name: Dolores County Road & Bridge Department <br /> Street Address: 8477 Rd 7.7 - PO Box 608 <br /> City: Dove Creek <br /> State: CO Zip: 81324 <br /> Phone: (970 ) 677-2328 <br /> Email(optional): rboffice@fone.net <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br />