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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 <br />Denver, Colorado 80203 <br />Phone: (303) 888-3567 <br />FAX: (303) 832-8106 <br />COLORADO <br />DIVISION OF <br />RECLAMATS ON <br />Iq- VI MINING <br />SAFETY <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />I- ZYI� <br />RECEIVED <br />OCT 2 0 2017 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />Permit Information <br />Permit Number: <br />Operation Name: 6�t VfA Ca.f`AAP(b <br />Permittee Informatio P`+ WOK <br />Contact Person: <br />Company Name: 3n , <br />Street Address: 16(�� �A71-1-1 2) ZQ _ u p -r -T <br />City: yo--t� <br />State: u -1 Al-i— Zip: 8q()7,? <br />Phone: ' i—t(iap <br />Email (optional):P(L�(�L �-� I�i ��,,f �1� , (h <br />✓ CM y'�"� . <br />rrospecnve successor lntormation 11dG 4 <br />Contact Person: _vl off <br />L,3 d <br />Company Name: 61 evra `t" { E t V A) 4&^ -&f a VCJ r d'A 1 I - U- CDL LPA"-, 46g3q, <br />Street Address: ?6s.- /05D S064 -Ii -1300 t'qs} 1#4,L. j)0 I�ox 1'40 (") -t`crce <br />City: 1/bR,14c, <br />State: U 44,- Zip: U :I(r 1-eln�v!� <br />Phone: ) 3' -el - 4 nx <br />Email (optional): p"lle—t -Fl.,jiZLAio&. c,,,A <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />