Laserfiche WebLink
STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 SO-2 p O L O o N of <br /> M Denver,Colorado 80203 ACY/THM RECLAATION <br /> Phone:(303)866-3567 M I N I N G <br /> FAX:(303)832-8106 —&_ <br /> SAFETY <br /> APPLICATION FORM <br /> RCW ®FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> al" <br /> DIVISION 0: RFC AMATION, <br /> MINING&SAFETY-MINERALS ADMINISTRATIVE INFORMATION <br /> Permit Information Q r <br /> Permit Number: 1 6 !©©9 <br /> Operation Name: ilk 11 iVPX' -,7� Fl�P'�j e-t +67 <br /> t <br /> Permittee Information <br /> Contact Person: J CIL Vol-J"QOn <br /> Company Name: ` C <br /> Street Address: <br /> City: Cro'L <br /> State: CO D r` Zip:: �p 2� <br /> Phone: Sid O / C-70 - i5Zq 3137 <br /> Email (optional): 1 f4d SOrN & n Cte �eLo� , h e T <br /> —T <br /> Prospective Successor Information <br /> Contact Person: KIT 086 tC-� <br /> Company Name: S R P1 411--c- <br /> Street Address: / 'q qC) �D �ath Vjrcf <br /> City: lge-e k a-r- <br /> State: 6o to ro4 Zip: T ((O q <br /> Phone: (q7- 6 ) `/,6 ( ' 775 oL- <br /> Email (optional): r c J-.#,t rk I erT t9, dmAl't .Gohn <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction-Durango Active and <br /> Inactive Mines <br />