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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 tR;ECLAMATOON <br /> oN OF <br /> D 0 <br /> Denver,Colorado 80203 <br /> Phone:(303)866-3567 <br /> FAX:(303)832-8106 SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M-1977-526 <br /> Operation Name: Worthing Pit <br /> Permittee Information <br /> Contact Person: Ben Frei <br /> Company Name: Albert Frei & Sons <br /> Street Address: P.O. BOX 700 <br /> City: Henderson <br /> State: CO Zip: 80640 <br /> Phone: ( 303 ) 913-6532 <br /> Email (optional): bfrei ,albertfreiandsons.com <br /> Prospective Successor Information <br /> Contact Person: Albert Frei, Jr <br /> Company Name: Henderson Aggregate Ltd <br /> Street Address: P.O. BOX 700 <br /> city: Henderson <br /> State: CO Zip: 80640 <br /> Phone: (303 )913-6502 <br /> Email (optional): afreijr@albertfreiandsons.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />