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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> D <br /> Department of Natural Resources �( i <br /> COLORADO <br /> 1313 Sherman St.,Room 215 DIVISION Of <br /> Denver.Colorado 80203 I JUL 0 6 2023 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 <br /> Colorado Division of Reclamation. SAFETY <br /> Mining and Safttay <br /> i APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION CC <br /> CCW(THM <br /> i <br /> Permit Information <br /> Permit Number: <br /> 1q - 0 <br /> Operation Name: <br /> Permittee Information <br /> Contact Person: �3 <br /> Company Name: Rip j&A L - a t P,e(' <br /> Street Address: 5 0 l7 O G R ( O 6 you <br /> City: A l tom. Wt-a S 4. <br /> State: ('01®rak Zip: <br /> Phone: ( 1( 1 ) 5 0 ` S5 0 0 <br /> Email (optional): (4.6 j1XSA, 60/y) <br /> Prospective Successor Information <br /> Contact Person: _m at r e to S 114 o(tens ehe, n <br /> Company Name: 6 (� SeµfS itoA- <br /> Street Address: 5 $6 D (�, R l Q 6 s o",%f(N, <br /> City: Gt,t� .S-I <br /> State: P ( ot ctj O Zip: t I <br /> Phone: ( �71 q ) 5 Sy" 1-7006 J <br /> Email (optional): p� 1 e�WA aK(.) �i . GcK"" <br /> Office of Office o` <br /> iMined Land Reclamation Denver-Grand Junction-Durango Active and <br /> Inactive Mines <br /> i <br />