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Vn iR T7 0'7-'5 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 60-01 C O L O R A D O <br />Denver, Colorado 80203 RECLAMATION <br />Phone: (303) 866-3567 MINING <br />FAX: (303) 832-8106 —&— <br />SAFETY &— <br />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 - 075 <br />Operation Name <br />Holyoke Gun Club Pit <br />Permittee Information <br />Contact Person: Kendra Schlachter <br />Company Name: Holyoke Gun Club <br />Street Address: <br />city: Holyoke <br />State: <br />45037 Co. Rd. 24 <br />Colorado <br />Phone: ( 308 ) 249-5294 <br />Email (optional): <br />Zip: 80734 <br />Prospective Successor Information <br />Contact Person: Randy Schafer <br />Company Name: Phillips County <br />Street Address: 221 S. Interocean Ave. <br />City. Holyoke <br />State: Colorado Zip: 80734 <br />Phone: ( 970 ) 854-3778 <br />Email (optional): randy.schafer@phillipscounty.co <br />101 <br />11 vG <br />alt0i <br />diiti§NI nim & §a * ®�� <br />Office of Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango Active and <br />Inactive Mines <br />