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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MIND -- <br /> Department of Natural Resources <br /> 1313 Sherman St., Room 215 M 1982-075 SOO 1 DD'o L 8 R A D o <br /> ivision of <br /> Denver.Colorado 80203 —' RECLAMATION <br /> Phone (303)866-3567 ✓Complied! 0 Violations M I N I NG <br /> FAX.(303)832-8106 10 Minor Infractions PSH/jle/sins SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> RECEIVED <br /> ADMINISTRATIVE INFORMATION FEB 1 0 ?021 <br /> DIVISIO" ',IA' 7iN <br /> Permit Information MIN,,. _ , --T, <br /> C �7 <br /> Pennit Nurnber: M - — - t 17 <br /> ---------- --- --- <br /> Operation Name: __-Q Lv+hr ,015 c N PpiRf U< V s <br /> Permittee Information Q(� <br /> Contact Person: �a vtp ZA,5 e 6/ __-- ! !', r-42 RALVr!V A/1Q-,c t-I n►.y):> Pt\T(21.0 VA"6, <br /> Company Narne: <br /> Street Address: ; s,�3 �,_ <br /> C ity: 1 Sn2 t.,i <br /> State: (_ 4L,_,r2AP0 Zip: Uy�J <br /> Phone: (30 3 .. �� ( ` C1 y � -- <br /> Email (optional): - �.v� r M-05c Cs~' 'rA11t�'�= -------- <br /> Prospective Successor Information <br /> Contact Person: � �r d S t-! -----------_---- --- — <br /> Company Name: p C_1-1 ,eEwpz G lam\it P � M i N_-i Nam- <br /> Street Address: <br /> City: r�A ► ';: --- <br /> State: t,UP-A Lz=., Zip: <br /> Phone: _(_7_7�� _� 36 5 <br /> J7, <br /> Email (optional): V r,�nMv�_>ct1 _t ,L1 cJ"'r_�� - <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />