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011 lqaw1 ti7 <br />STATE OF COLORADO <br />'DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St, Room 215 Q jJf 6 <br />Denver, Colorado 80203 Y' <br />Phone: (303) 866-3567 <br />FAX: (303) 832 -8106 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: <br />Operation Name: 44 s l l M :1 k <br />Permittee Information <br />Contact Person: MCLO -r— A - no-E'aje % <br />Company Name: CaO I Cj +i;1 t AA-tae-L, �j G . <br />Street Address: q 57 &{ not t-iS -(;4l2tY1 <br />City: Lof15n%6 -Y k <br />State: zip: -�3 <br />Phone: ) (051— 2885 <br />Email (optional): CAo(c140r%-Mf% _112tn^Q`� <br />Prospective Successor Information <br />Contact Person: <br />COLORADO <br />D I V I S ION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />MAR 10 2015 <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />Company Name: t ��nt{ --L- C . <br />Street Address: 50 L443eAc- 1 00 —<XX;` V% <br />.a <br />State: u'vah <br />Zip: e>03-E2 <br />Phone: (,-303) 5 ZM — l % %q <br />(tc- <br />aLx) A%it ie�' <br />?hv(iy 2ccd ►► /z�l►- <br />Email (optional): ftii q yv► (/YI <br />Office of Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango Active and <br />Inactive Mines <br />