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Woe- STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> n COLORADO <br /> 1313 Sherman St.,Room 215 -50. v DIVISION OF <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone.(303)866-3567 M I N I N G <br /> FAX:(303)832-8106 —& <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND 5�)ayh , & <br /> SUCCESSION OF OPERATORS RECEIVED <br /> ADMINISTRATIVE. INFORMATION OCT 2 6 20 17 <br /> DIVISION OF RECLAMATION <br /> Permit Information MINING AND SAFETY <br /> Permit Number: M-2009-056 RDA <br /> Operation Name: Destiny Pit 5-rPAA(_', <br /> Permittee Information <br /> Contact Person: Boyd Astemborski <br /> Company Name: Destiny Mining, LLC <br /> Street address: 902 Collins Road <br /> City: Colorado Springs <br /> State: Colorado Zip: 80920 <br /> Phone: ( 719 ) 290-4205 <br /> Email (optional): none <br /> Prospective Successor Information <br /> Contact Person: Caleb Bolander <br /> Company Name: Gold Tamers, LLC <br /> street address: 216 1st Street Suite D <br /> city: Eaton <br /> State: Colorado � zip: <br /> '8TJ615 � <br /> Phone: (I / 'q ) � 11 J o/�7D <br /> Email (optional): Cq 1P J�(k 9 o I <br /> Office of Office of <br /> Mined Land Reclamation Denver •Grand Junction•Durango Active and <br /> Inactive Mines <br />