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A-61 STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY t.l j 0.qj— o:3/7 <br />Department of Natural Resources I <br />1313 Sherman St, Room 215 <br />Denver, Colorado 80203 / } — Oq <br />Phone: (303) 866 -3567 v <br />FAX: (303) 832 -8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />COLORADO <br />DIVISION Or <br />RECLAMATION <br />MINING <br />SAFETY <br />ADMINISTRATIVE INFORMATION APR d 4-t <br />Division of Reclamation, <br />Permit Information Mining & Safety <br />Permit Number: ,/)p O37 <br />Operation Name: CSTZ AI `/ jgZ1110111 6 ; - %, %US/ f-"i /r'..Z`T' <br />Permittee Information <br />Contact Person: 6W z<574--- 7 6MS/ZI <br />Company Name: ,47Z--:S j-Wy 4A, e- <br />Street Address: 9c9A _ C©/.L..7/tS 1P.0 <br />City: roz-,O ',% <br />State: C 6Z n Zip: F01?121 p <br />Phone: (7��� ) c?��e9 9 " 06 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: eo.y,10 <br />Company Name: /rSH /all✓ /1/1/6 ,,Ue_ Pvt- <br />Street Address: , Z,�zo eA- ,;t 52gG1-Ajie 0 &o gt') teo'd <br />City: II-721-46F- <br />State: {/ <br />CoLp Zip: 5-0/// <br />Phone: ( 14 ) 9,q-,- zj7,05 W+3 <br />Email (optional): h-i : �`}1 ,1 �' , l �ti V1 �. 1 v `06, <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />