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piero/TA44 <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone: (303) 866 -3567 <br />FAX: (303) 832 -8106 <br />RECEIVED APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />OCT 2 5 2012 SUCCESSION OF OPERATORS <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />i <br />1-119 <br />Permit Information <br />Permit Number: - J / &/ _) z4 <br />Operation Name: r , 1 a u c _( 4 . <br />Permittee Information <br />Contact Person: <br />Company Name: <br />Street Address: <br />City: D`lat-Gr) =StQ nct <br />State: _FL_ Zip: 34-1 4-- <br />Phone: (? ) - 34.- 3 <br />Email (optional): cis y1 P eJ � j 3 P., Q' 9 rocs <br />Prospective Successor Information <br />Contact Perso "J <br />Company Name: <br />Street Address: P <br />City: <br />Phone: <br />Email (optional): <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />STATE OF COLORADO <br />So03 <br />ADMINISTRATIVE INFORMATION <br />D O M lct c • J ��J <br />MA <br />,u A <br />State: C...D Zip: 12, -- l 01) <br />( 9'7 )37z -4-303 <br />Denver • Grand Junction • Durango <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />SAFETY <br />John W. Hickenlooper <br />Governor <br />Mike King <br />Executive Director <br />Loretta Pineda <br />Director <br />Nov =None �- <br />tutv /0/vi <br />Office of <br />Active and <br />