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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> CO:444, <br /> RAD <br /> 1313 Sherman St.,Room 215 D I I ON oDenver,Colorado 80203 REMATIO <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> R► (; IV D <br /> ADMINISTRATIVE INFORMATION JAN 2 6 ZQZZ <br /> DIVISION OF RECLAMATION, <br /> Permit Information MINING&SAFETY-MINERALS <br /> Permit Number: M-2009-086 <br /> Operation Name: Pickering Family Pit <br /> Permittee Information <br /> Contact Person: Ted Pratt <br /> Company Name: F1 intstone Gravel & Trucking, Inc. <br /> Street Address: 1204 CR 60 Box 950 <br /> City: Granby <br /> State: CO Zip: 80446 <br /> Phone: ( 970 ) 531.- 9670 <br /> Email (optional): terry iof lintstonegravel .com <br /> Prospective Successor Information <br /> Contact Person: Nick Waldow <br /> Company Name: Flintstone Gravel Pit, Inc. <br /> Street Address: 539 CR 5 Box 245 <br /> City: Fraser <br /> State: co Zip: 80442 <br /> Phone: ( 970 ) 531-0977 <br /> Email(optional): nick&nicksdirtworks .com <br /> Office of <br /> Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />