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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, V <br /> Department of Natural Resources COMPLIED! 0 Violations <br /> 1313 Sherman St.,Room 215 ' OO D O L O1 o N of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 MINI NG <br /> FAX:(303)832-8106 1 10 Minor Infractions PSH/jle "&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS RECEIVED <br /> ADMINISTRATIVE INFORMATION DEC 0 4 2020 <br /> DMSION OF RECLAMATION <br /> Permit Information MINING AND SAFETY <br /> Permit Number: M-1982-075 <br /> Operation Name: Alvin Mosch-Patricia Mosch <br /> Permittee Information <br /> Contact Person: David Mosch as PR for Alvin Mosch and PR for Patricia Mosch <br /> Company Name: <br /> Street Address: P.O. Box 3236 <br /> City: Idaho Springs <br /> State: Colorado Zip: 80452 <br /> Phone:-( 303 ) 567 0422 <br /> Email (optional): davidmosch@yahoo.com <br /> Prospective Successor Information <br /> Contact Person: David MOSCh <br /> Company Name: Mosch Exploration & Mining, LLC <br /> Street Address: P.O.Box 1484 <br /> City: Idaho Springs <br /> State: Colorado Zip: 80452 <br /> Phone: (775 ) 385 3638 <br /> Email (optional). davidmosch@yahoo.com <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />