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• <br /> 'PAW STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY ' , 0 CZ) <br /> Department of Natural Resources <br /> 1313 Sherman St., Room 215 M-1982 058 SOW pC O L Oi o N oO <br /> Denver,Colorado 80203 Complied! 40//7 G(iv/r? RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 NO prior Violations! —&— <br /> inac he <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS `y <br /> APR 12 2018 <br /> ADMINISTRATIVE INFORMATION <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> Permit Information �(51Vt0 <br /> Permit Number: )C/5 2. <br /> Operation Name: I D o:ISI 64/ ,M,.v(.: <br /> Permittee Information <br /> Contact Person: DA yip M QS <br /> Company Name: Q()i Y l,v !-'6 Cr)rt,P. <br /> Street Address: p O, 6 7'1 F4 <br /> City: 1JtANP JP21N 6 5 <br /> State: Co L e12J47,0 Zip: ?027 <br /> Phone: ( 773 ) 3'06' 36 <br /> Email (optional): 01,:wit d,/V1 v -:?e YA ii <br /> Prospective Successor Information <br /> Contact Person: pAV,27 ✓ v ' 4 S c y1 <br /> Company Name: Mo-c y-i & PC QYZATI QA/ S"M 1 AJ)4)6 L LC <br /> Street Address: t (7 � i <br /> City:-77A S r-y? liU 6 )- <br /> State: C O Zip: 4/� (� <br /> Phone: (7750 <br /> Email (optional): OtV 05e tS (6, Ov, COI <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br />