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STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources RECEIVED <br /> COLORADO <br /> 1313 Sherman St.,Room 215 p r v I s r o N OF <br /> Denver,Colorado80203 2 2024 RECLAMATION <br /> Phone:(303)866-3567 M I N I N G <br /> FAX:(303)832-8100 io Division of Reclamation, SAFETY <br /> Mining and Safety <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS RECEIVED <br /> ADMINISTRATIVE INFORMATION FEB 2 2 2024 <br /> Colorado Division of Redamadon, <br /> Permit Information Mining and Safety <br /> Permit Number: /VN— 19 8�o — Z LI `y/� SO-1 <br /> Operation Name: (��y,���g L(f /70Lt '(.�?/A/ /�i�fJ�t.� HR1 <br /> Permittee Information Contact Person: abler ly6a4_40/11Aj <br /> Company Name: ( h,/ 1,f s-, z-4( 1k Lc j/,t l f <br /> Street Address: PDgg 85- <br /> City: e5 ece•v /041V F,-/1S <br /> State: CEO/a Zip: �! /9 <br /> Phone: ( `717 ) h�9/ --92Z/ <br /> Email(optional): (l�c/2Tttc�i,W Q 9.�ytc�C� 4'a-r,� <br /> Prospective Successor Information <br /> Contact Person: L1111"71140z.' <br /> Company Name: ,*ueGlley <br /> Street Address: OU&X ?$— <br /> City: /hlw & <br /> State: 4:A/a Zip: <br /> Phone: ( 7119 ) <br /> Email(optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver-Grand Junction•Durango Active and <br /> Inactive Mines <br />