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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY RECEIVE <br /> Department of Natural Resources <br /> #, �e 5 COLORADO <br /> 1313 Sherman St.,Room 215 D I V I S I O N o f <br /> Denver,Colorado 80203 A U 202 RECLAMATION <br /> Phone:(303)866-3567 iamatlonD MINING <br /> FAX:(303)832-8106 '' <br /> Colorado DNisi andfSa ty SA ETY <br /> M►ning <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-1 <br /> BFB/ZTT <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: M 10 Z4-01 t <br /> Operation Name: LGcY-h<-'-r+- 'F i <br /> Permittee Information <br /> Contact Person: T� AA j +-ch LpG � a1 -17 <br /> Company Name: ��ir,�mm1\,rt a ( It &-e m O>1 IZ e n1- k 5 LL6, <br /> Street Address: I I VV-eS}- 2 C1� �VG <br /> City: K(t M M i Y)A <br /> State: —C,U LU r 0.d O 1 Zip: <br /> Phone: ( q 1 D ) 53 I - � 5 2 <br /> Email (optional): I n(!< FA,YA� 5 (L2 QIMQ► 1 , C0 <br /> Lj <br /> Prospective Successor Information <br /> Contact Person: le'r r y Car 1p e n ye.- <br /> Company Name: C .'r C'r-uv�en Ri L t C. <br /> Street Address: " 1 b Pa r Y-- P-\(<, <br /> City: k--erAm�i►uA <br /> State: C-010' &O Zip: 0"�501 <br /> Phone: ( 9"1D ) S 3 I- 2.3 21 <br /> Email (optional): <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />