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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 C O L D RA D O <br /> D IV IS I ON Of <br /> Denver,Colorado 80203 RECLAMATION <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 /> ADMINISTRATIVE INFORMATION <br /> Permit Information RECEIVED <br /> �Ce-VuLvotL <br /> Permit Number: a,Q 01I9 o 10 APR 2 2 2015 <br /> Operation Name: 3+ett3Qr t Pi Division of RPct mation, <br /> Permittee Information Mining&Safety <br /> Contact Person: ja rnvs m l—ec Yh EIVED <br /> Company Name: �rtj C:6 L; •L POL D L fl �_L C C,o ti►'i��,P <br /> Street Address: AUG 27 201 F <br /> City: "S) j1( `,(J' DZinnReclamation, <br /> � Safety <br /> State: 0_o Zip: �C7g3� <br /> Phone:J719 ) 34 W 5-3 s-3 <br /> Email(optional): fr C C_E r m i C k l C (0 t/Qt1 a a , Yl <br /> Prospective Successor Information <br /> Contact Person: ,, 6 m C_ , <br /> Company Name: C ez r w t 61 asa:h6y1 4- 4 k <br /> Street Address: 11a.)y 02 y <br /> City: 4rd-o U <br /> State: CO Zip: � <br /> Phone: ( 1 1 1 ) j q?- tH k 3 40,16 <br /> Email (optional): M 0�,c r m 10 c P c 1 L 1 qC (� (Un'1 ✓ Y1�1 .�/1 �'� <br /> r� <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />