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�'ka oft/ <br />01 [� T?,0�5 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 DC O L O RA D O <br />O <br />Denver, Colorado 80203 DIVISION FRECLAMATION <br />Phone: (303) 866-3567 MINING <br />FAX: (303) 832-8106 —&— <br />SAFETY <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />RECEIVED <br />ADMINISTRATIVE INFORMATION <br />JUN 2 6 2015 <br />Permit Information [)vision of Reclamation, <br />Permit Number: <br />M-1977-075 Mining & Safety <br />Hol oke Gun Club Pit lot `d `�� <br />Operation Name: y <br />Permittee Information <br />Contact Person: Kendra Schlachter <br />Company Name: Holyoke Gun Club <br />Street Address: 45037 Co. Rd. 24 <br />city: Holyoke <br />State: CO <br />Phone: ( 308 ) 249-5294 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: Randy Schafer <br />zip: 80734 <br />Company Name: Phillips County <br />Street Address: 221 S. Interocean Ave. <br />city: Holyoke <br />State: CO Lip: 80734 <br />- - - --/t 0 M r ti in r- 6v1k5l <br />Phone: 970 )854-3778 <br />./ C n �ffceovmt MA4 <br />Email (optional): randy.schafer@phillipscounty.co <br />Office of tS Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />