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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINIf -- <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 M 1982-075 SOO COL R A D O <br /> DIVISION O F <br /> Denver,Colorado 80203 Com lied) RECLA T ON <br /> Phone:(303)866-3567 P 0 Violations _ <br /> FAX:(303)832-8106 10 Minor Infractions PSH/jle/sms SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION FEB 10 ?021 <br /> DMS101' 'sW. )N <br /> Permit Information <br /> Permit Number: M - 1 4/g 0 76- <br /> Operation Name: ^nLVIN ,M05CH fIN1? CA pscH <br /> Permittee Information pn <br /> Contact Person: L wl'q 1\1)a5C-N J !'C Ford A LVin//A/1 Q5c-1 IkAJy fNT(21C)VVAr"'5;cN <br /> Company Name: <br /> Street Address: J d 0, L3 a3K' <br /> City: JDAHo 5 GS <br /> State: COLor2ADO Zip: guys 2 <br /> Phone:J 303 ) 6-67 - Q212,2 <br /> Email (optional): jk V/� r7 M Q 5 c Ad P C' <br /> Prospective Successor Information <br /> Contact Person: 2N V 1 P ,Ul o S c►-I <br /> Company Name: M o f(- H E XP1 Qf-2A I 1 CAN h M I A/I A/G � L Lc <br /> Street Address: <br /> City: -72,g Ho SP21n/G s <br /> State: Co t-,zx�Ez-d Zip: <br /> Phone: (775 ) �9 -3(,''3 a <br /> v <br /> Email (optional): da'VI^- U)M 05C� (Lig, 4.L1 pv r C�7M <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />