Laserfiche WebLink
_001wk STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources M-1983-164 <br /> Site Name: C O L O R A D O <br /> 1313 Sherman St.,Room 215 COMPLIEp Gallegos� DIVISION o f <br /> Denver,Colorado 80203 V1oLru. S/ZSjif <br /> Phone:(303)866-3567 �0� RECLAMATION <br /> FAX:(303)832-8106 whe —&— <br /> �ce SAFETY <br /> APPLICATION FORM <br /> alea-WO FOR TRANSFER OF MINERAL PERMIT AND ReceivED <br /> SUCCESSION OF OPERATORS <br /> ����,Q1� qIG 23�01$ <br /> AAL- <br /> �ECLAM DIV18 <br /> 1p1V <br /> DxN ��SgEV ADMINISTRATIVE INFORMATION M1NIN�ANOS FETMaN <br /> Permit Information j <br /> Permit Number: '- l�� (O I <br /> Operation Name: �\ 0:`� <br /> Permittee Information _ <br /> Contact Person: <br /> P <br /> Company Name: <br /> Street Address <br /> City: <br /> State: Zip: t� <br /> [� <br /> Phone: <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: RorAeQ SAND Cy)2►3VL Z- [-[.— <br /> Street Address: TO - <br /> City: <br /> State: S An Zip: 1 <br /> Phone: �_ '� « ) �� 0— s� 11�� <br /> Email (optional): <br /> S <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction-Durango Active and <br /> nactive Mines <br />