Laserfiche WebLink
STATE OF COLORADO <br /> rin <br /> r <br /> DIVISION OF RECLAMATION, MINING AND SAFETY '` n�i4 .� <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 °u' �OL2 a O i sOt o N o� <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 C'IVI`%ICN OF RECLAMATION MINING <br /> FAX:(303)832-8106 SAFETY-MINES',,ql SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-2 <br /> ADMINISTRATIVE INFORMATION CJD/JLE <br /> Permit Information <br /> Permit Number: ! 1 ,- :I aor? —11 <br /> Operation Name: t <br /> Permittee Information <br /> Contact Person: 4 Icy S - <br /> Company Name: j & (- <br /> Street Address: ?, j') m ML, <br /> .1 Rr;&A ' <br /> City: WrA(' I t A- <br /> State: Cry Zip: fi l r-lE <br /> Phone: <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: Qoc-� = <br /> Company Name: CIO)e <br /> Street Address: 117 (A �cT�Pi9E <br /> City: N isiAoS4-k, <br /> State: Ln Zip: 11 u <br /> Phone: (�j ) ��{�(�— 1(D <br /> Email(optional): rcy- D4\ <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />