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DMC GRM <br />M-1982-020 S003 <br />Annual Fee/Report: <br />NO V191q s, <br />V/ cc 9405 Pe %C, 2a, <br />Denver. Colorado 80203 <br />Phone. (303) 866-3567 <br />FAX. (383) 832-8105 <br />(Y1- lof:?,d;-?1 <br />STATE OF COLORADO <br />Cw� SAFETY RECEIVED 4-4z3kk1 <br />� 31K1a AUG 17 2017 <br />`-� O� �� <br />DIVISION OF RECLAMATION <br />�l j C9 M P r. C, 7e MINING AND SAFETY <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Permit Information <br />Permit Number: - 991 - C) )- O I + <br />Operation Name: So O N Ck <br />Permittee Information <br />Contact Person: 1j l I <br />p y �SQ�rJ M� __.._..� <br />Company Name: , � �,�,A- � � 6V <br />Street Address: I M kA M (_ <br />City: VOW A. <br />State: C ILL t oQ-ti1 T A, Zip: <br />Phone: (6 (9 ) S L0 - S 60 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: A U l W o oh A -L <br />Company Name: L C f, <br />Street Address: S l 0 <br />City: G\j n1 , Sad <br />State: [ o Lb k\J'� p Zip: �� O <br />Phone: ( i 3-p <br />Email (optional): <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />