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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />117-6 <br />STATE OF COLORADO <br />5a -4 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />Permit Number: <br />ADMINISTRATIVE INFORMATION <br />=r� <br />COLORADO <br />DIV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />-TW C-r� Lil� <br />MAY 14 2015 <br />Division of Reclamnfi®n, <br />Mining 69fefy <br />Operation Name: n e-, 2/,` 5 <br />Permittee Information <br />Contact Person: <br />Company Name: <br />Street Address: 3 4 C{ U 7 Lk.V-p 1 ,7?> Cd <br />City: erTL-P PTA <br />State: &A Zip: <br />Phone: 6 1(D ) %a 1 — 3400 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: <br />Company Name: �" G n <br />Z. ma-c- <br />inOu-v%V0- r\ `nt <br />ki <br />j� <br />Street Address: G O Q U-a-mOYIi- L ca'ck <br />City: <br />State: G& <br />Zip: 30 30 <br />Phone: (',03) 4 2-9 — a 1 <br />trec�Cd-eS 1 LLC <br />Email (optional): <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />