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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 <br />Phone: (303) 866-3567 <br />FAX: (303) 832-8106 <br />So-- 5 <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />Permit Number: <br />Operation Name: <br />ADMINISTRATIVE INFORMATION <br />111i983-10-3 <br />AcT DoUct <br />P< <br />Permittee Information <br />Contact Person: <br />S asepi4- <br />Company Name: A-06,_IBJ FST TRA.) W1 ' (- <br />Street Address: /b (g0)( / / �- <br />City: <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />RECEIVED <br />DEC X42015 <br />Division of R - - mation, <br />R <br />ECiEN Safety <br />DEC 4 2015 <br />[)i�ision 6f llect <br />Vougig sateW <br />I it4 <br />1 1NJ., .�u1dt SPL <br />State: <br />co <br />Phone: RID ) <br />Zip: 8/08 <br />7-5 -D-753 <br />Email (optional): 5 Ora `1 ® A/E T 071-14- , (,6/i/\ <br />Prospective Successor Information <br />Contact Person: <br />Company Name: <br />Street Address: <br />City: <br />State: <br />MA0 rc e6-iZ So tJ <br />p/egor oc 6A) CoAJ sl /k,t 7iOJ ("jC <br />Gn' �c-T <br />IN Zip: Q is -0 <br />Phone: (a?d ) Z'(2 E) <br />Email (optional): R, 4J Q pitz,eecoAj5, to m\ <br />S44C'(%4 ,A- UT ilf Nrs <br />,41-35 <br />(03Z- 5(2t <br />(1,4- It <br />✓ No tc,v 0 <br />M <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />Denver • Grand Junction • Durango <br />Office of <br />Active and <br />