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itAraf3iv't <br /> _ I <br /> 1,1140Ac STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources Sailte1983-164 <br /> _ mpame:Gallegos Pit RECLAMATIONCOLORADO <br /> 1313 Sherman St.,Room 215 <br /> lDIVISION OF <br /> tclgozmaLgteloubl 44.44.,02514 <br /> Denver,Colorado 80203 iaJ <br /> Phone:(303)866-3567 TiVnie_ MINING <br /> FAX:(303)832-8106 PC822 <br /> /It wilmamemistw —&— <br /> SAFETY <br /> _D_I_1/11:1140EUIF,REc2Er);14,411:91 M5 AlITI9ON <br /> APPLICATION FORM <br /> 'WO FOR TRANSFER OF MINERAL PERMIT AND <br /> Alge SUCCESSION OF OPERATORS <br /> e TO% <br /> 0C,1 41 ' <br /> ,t0,0310* <br /> 14 Of 16' 01 ADMINISTRATIVE INFORMATION <br /> DI\T\S° 000 <br /> ota ,, <br /> / RECEIVED <br /> - Nu AND SAF"r <br /> \ C3 <br /> Permit Information i 0 67)144;tej-& til <br /> Permit Number: IA — OCT 2E, 2018 <br /> Z <br /> Operation Name: 96,\.\.Q_y \"")Ct Division of Reclamntion, <br /> *a. <br /> WIN&5afety <br /> Permittee Information ligit <br /> Contact Person: ,-e o4- ey, \---- --GQV e T----) 0 <br /> tin <br /> Company Name: <br /> Street Address:PL.; . e>c) X z---_.; 71---; 11.41.6e; <br /> City: V .0 j\l\--ILL; ,/ lAitipp <br /> I ik ik <br /> State: ...,C) Zip: i' <br /> 1, Lr3 <br /> Phone: ( 1 ('A ) 1-(3 .CIL-i•-C'trii <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: C.D0A 13 .----I'\-4 4 ) 4- k <br /> Company Name: I:2.,0(4 eo gA-ND <br /> Street Address: T. 0 - 1 1 <br /> City: \- 0A-to <br /> State: QD Zip: UtL( <br /> Phone: ( ri n ) c----)c4*0- 11 SCs....), <br /> Email (optional): 1 -3k.k_..N).,(CD,A NLS rtk co,0 <br /> g <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> nactive Mines <br />