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p M STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources �/V a II fL/- RECEIVED <br /> " COLORADO <br /> 1313 Sherman St.,Room 215 AUG 2 3 2017 DIVISION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 'f MINING <br /> FAX'(303)832-8106 " DMSION OF RECLAMATION —&— <br /> MINING AND SAFETY SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: (Y\— 11 g I 0 IC <br /> Operation Name: f V;i rk( S S-done 63 wt pail tit✓ <br /> Permittee Information (1 <br /> 1 <br /> Contact Person: JQv1 k 1 e Y , I\ C ,yt Les P k i I (t P5) �+C. <br /> G C <br /> Company Name: t '` c S S'fi)/1L <br /> Street Address: jAid <br /> City: L t rn ��-� Co ID <br /> State: C Jter 4 do Zip: 80s-03 (0G <br /> Phone: ( 303 ) 1.1 - 9 5 ryi (-54(..., <br /> yrs✓ 2�i1 �L_ evil <br /> SJ <br /> Email (optional): ✓ m �p. . 3 <br /> -je t/ 06716 Rilark- <br /> Prospective Successor Information 'sIjiL -3r7-%1 <br /> Contact Person: RCto \ VCiscN CL— <br /> Company <br /> i _Company Name: 6),enotiv, SA,o,rtc__ <br /> Street Address: q) $ C)- H-U);;/ <br /> City: L0,,/13Y�"►SZZ_�-- ` <br /> State: Co\uktw Ao Zip: 205153 <br /> Phone: (343 ) 223 - Was"- <br /> Email <br /> 6 2s"-Email(optional): WO( in \-%-.S 00 c a. & ma.. 14 Ca m <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />