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a• <br /> STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources 44 <br /> 1313 Sherman St.,Room 215 u O L OI o N of <br /> Denver,Colorado 80203 SO-3 RECLAMATION <br /> Phone:(303)866-3567 DMC/THM MINING <br /> FAX:(303)832-8106 SAFETY <br /> APPLICATION FORM <br /> OR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SIP' ADMINISTRATIVE INFORMATION `i <br /> � 0 A ti01L1 <br /> Permit Information <br /> Permit Number: — Iq n - 15q <br /> Operation Name: G I f-CLS O n C-j r a y e 1 Pi-F <br /> Permittee Information <br /> Contact Person: a-�mm�( <br /> Company Name: S � S ken f e-q 't Inc <br /> Street Address: PO 6 OX 2l(0 <br /> City: F ri(a <br /> State: C_Q Zip: %k'-Y1 j <br /> Phone: (q-1 O ) L4'1$ -q y Oln <br /> Email (optional): Sj e,--t'Ir u GY-S @ u o aln D. c0m <br /> Prospective Successor Information <br /> Contact Person: M j(_V-)Q t k m 1pQ I I <br /> Company Name: C,I0.cier' jNag re gGkteS C ofp <br /> Street Address: -,(pLj%5 2)300 Q6 <br /> city: R e C►v n 1 1e- <br /> State: LQ Zip: '6 1 y�I <br /> Phone: (q-1 p )--gyp$ -22-70 <br /> Email (optional): Q I Cl C 1 Y C 1 d G 2 Ol Got Q rm�i I C DCYI <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />