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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 p O L O o N of <br /> Denver,Colorado 80203 SO-3 RECLAMATION <br /> Phone:(303)866-3567 DMCrmm DMC/mmMINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION °� <br /> � 41°- <br /> 00°'1°- . o, <br /> PQM O. ��\a�a�o <br /> Permit Information `�S\o%oSEe�i <br /> Permit Number: M — ICI$3 - 159 aa M\p\c4 <br /> Operation Name: (j 1 ea%p n Ci r a V'e. Pf-t-- <br /> Permittee Information <br /> Contact Person: `>im i L- ec\Cx.,("Nah (`e51 <br /> Company Name: S * S N.3,3 <br /> Y 9 G}t Inc. <br /> Street Address: PO, Sox 21(0 <br /> City: E9nar <br /> State: C_C) Zip: k r2.,5 <br /> Phone: (q1 O ) y 2% -914 Opp <br /> Email(optional): Li.St r U C,1 -S yah co CONI <br /> Prospective Successor Information <br /> Contact Person: M 1 cha k<21 cfl ba 11 <br /> 11. <br /> Company Name: Gi0.C1eY Rtage 1\30 kr e..3CIteS Orap <br /> Street Address: .(py$5 .y100 <br /> City: R e a v a 1.e._ <br /> State: CO Zip: ? <br /> Phone: (C{1 p )1 O$ -2210 <br /> Email (optional): 91 Cl C,i tY r 1 C�9 ClC,9 @ CO <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />