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Ma®D1o;ek <br />� I � STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources I <br />1313 Sherman St„ Room 215 <br />Denver, Colorado 80203 (f <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 />COLORADO <br />D I v 1 S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit Information RECEIVED <br />Permit Number: M - oIO b � �- 016% 41* % P U& <br />operation Name: Pi � N 2 6 2015 <br />Permittee Information Dimigion of Redamaft% <br />nhng Safefy <br />Contact Person: <br />Company Name: <br />Street Address: <br />P ��X 13S0 <br />City: On ftoln <br />State: 0-0 <br />Phone: ( q 70 ) '13 <br />Email (optional),. <br />Zip: i 5,:� D <br />- -7 -7 0 9 <br />Prospective Successor Information <br />Contact Person: <br />Company Name: <br />0.k�Aavt <br />(,LjoLa-n0[ &-aver -LLC- <br />Street Address: 3a 0 a S rirl 9 Pefd RA <br />City: C-vaAc( J c+ <br />State: 010 Zip: St -563 <br />Phone: 0'70 q34 -C),510 <br />Email (optional): iia-t-kan @ c p lLLkid ol�.Coyh <br />RECEIVED <br />�1) <br />JUN 12 5 <br />Division of eclamatl <br />Mini & safety <br />76 <br />Office of umce or <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />