Laserfiche WebLink
STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY ZOO? <br /> Department of Natural Resources 4& 4 <br /> 1313 Sherman St.,Room 215 COL O RA D O <br /> Denver,Colorado 80203 p i v i s i o x o f <br /> .� RECLAMATION <br /> Phone:(303)866-3567 a/ �(� 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 FECEIVED <br /> DEC r 2016 <br /> Permit Information O "","_ion of ReclamatioM <br /> Permit Number: /Vt l 131" Mining&Safety <br /> Operation Name: ,1 �j1��nti�►(, � <br /> Permittee Information <br /> Contact Person: -&r_sy /3o <br /> Company Name: S TQ NC— r <br /> Street Address: .2 G 4�,_cj e, <br /> Cit <br /> Y ,L CLC k c�K o/ ✓ cA'(f <br /> State: jn�) Zip: �'(�6"3 J c <br /> Phone: ( F! y ) 6 3 ` <br /> Email (optional): <br /> 1 zsl�� <br /> Prospective Successor Information <br /> Contact Person: Q1JF� f l;i i ,G <br /> Company Name: cz-e- fill o S;v Al e- . �Gv► <br /> Street Address: /�� /3 p y F (e <br /> City: �p A, S <br /> State: e Q Zip: <br /> Phone: ( 3 03) 7 7 Cr—F%5 2 4 <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />