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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RECEIVED <br /> 1313 Sherman St.,Room 215 <br /> Denver,Colorado80203 MAR 1 1 2024 <br /> Phone:(303)868-3587 <br /> FAX(303)832-8106 <br /> Colorado Division of Reclamation, <br /> Mining and Safety <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-3 <br /> ADMINISTRATIVE INFORMATION TJIITHM <br /> Permit Information <br /> Permit Number: M-2001-001 <br /> Operation Name: Line Camp Pit <br /> Permittee Information <br /> Contact Person: Kathy Stone <br /> Company Name: Stone Sand & Gravel LLC <br /> Street Address: 12092 Hwy 145 PO Box 1568 <br /> City: Dolores Cortez <br /> State: Colorado Zip: 81323 81321-1568 <br /> Phone: FO ) 759-5823 <br /> Email(optional): dkstone a(outlook.com (nabarton(wastelineinc.net) <br /> Prospective Successor Information <br /> Contact Person: Tara McDonald, AP Manager <br /> Company Name: Smith's Materials LLC <br /> Street Address: 27701 Road T PO Box 215 <br /> City: Dolores <br /> state: Colorado Zip: 81323 (81323-0215) <br /> Phone: 070 )882-3399 <br /> Email(optional): smithsmaterials@' outloolccom (nabarton@wastelineinc.net) <br /> Office of once of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />