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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 />56) -r��- <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: M-77-227 <br />112 -� <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />-06,4 /14/PL�c., <br />JAN 202016 <br />Operation Name: Mesita Hill Mine <br />Permittee Information <br />Contact Person: Paul Glader <br />Company Name: MWCA, Inc <br />Street Address: <br />won & Satiety <br />6500 N Mineral Dr, Suite 200 <br />City: Coeurd'alene <br />State: Idaho Zip: 83815 <br />Phone: ( 208 ) 769-4100 <br />Email (optional): pglader@hecla-mining.com <br />Prospective Successor Information <br />William A Tezak <br />Contact Person: <br />Company Name: <br />Street Address: <br />City: <br />State: <br />Phone: ( 719 <br />Super Ex., LLC <br />l- 6444 tet (/ 47h -s - <br />d z/.. (l, <br />270 S 15th St <br />Canon City <br />CO <br />588-7916 <br />Zip: 81212 <br />Email (optional): <br />billtezak@gwestoffice.net <br />V <br />(MYliOdivithlditYZ <br />Office of <br />Ai..,.,1 I nn,. DnAn.n.,a,.., <br />n,.n„n.. r±.nn.l Is n,..i,.n . n,,.nnnn <br />Office of <br />A,..k,,., nna <br />