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f'✓1A 03W <br />tqeJ-�- STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 �( <br />Denver, Colorado 80203 50 - <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: M— i 9$ 3 -- 1 A4% <br />COLORADO <br />DIV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />MAR 10 2015 <br />DIVISION OF RECLAMATION, <br />MINING AND SAFETY <br />Operation Name: (2X�6 Wk -43 b00 M;nejl�. RECTIV D <br />Permittee Information <br />l <br />Contact Person: ]d CLVJC-- A• . jU1L 4 2015 <br />Company Name: <br />Gc-,LA <br />-Hdi u-- " rne-A. <br />j enc _ <br />division of Reclamation, <br />mi, *% & Safety <br />Street Address: <br />X151 <br />iQ�not�e�s "-fit <br />Lane, <br />City: <br />State: Zip: <br />Phone: 24$5 <br />Email (optional): 4k01J-i-t3v%k-l%E= @ qtfncyaLr . CAsw`. <br />Prospective Successor Information <br />Contact Person: M; k.IE Qj y n Layl <br />Company Name: LLQ C`�OiYtp04VA <br />Street Address: JQ it, e k 1 CX? :�> o Ltkh '` +Pbe go—t <br />City: MO'CL,D <br />State: WLh <br />Zip: 8U 314 :Z.. <br />Phone: (3v3) 4V <br />Email (optional): <br />Office of Office of <br />Mined Land Reclamation Denver - Grand Junction - Durango Active and <br />Inactive Mines <br />