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fr" <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 />Company Name: <br />Street Address: <br />Street Address: <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />STATE OF COLORADO <br />RECEIVED <br />NOV 142012 <br />Division of & Safety n, <br />Mining <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />Permit Number: M- 1993 -030 <br />Operation Name: Crystaljack Mine <br />ADMINISTRATIVE INFORMATION <br />Permittee Information <br />Contact Person: Thomas Stephenson, Executor for John 0. Buckner <br />2.5"1 `,ciccer_ <br />6\4- <br />City: CO 1prpd C Sr( n _y <br />State: C 1 ec,L c7 LI Zip: 80_9 °9 <br />Phone: (71 9 ) 3 -- 7 /4_9 <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: -?o trice, 1 cj b c: a .50 <br />Company Name: Crystal Jack Mining, LLC <br />2.5 Rio, (dean_ s <br />City: C010 rcLdp 5/ 09s <br />State: Co i C7 v - a_c(O Zip: <br />(50_9 09 <br />Phone: (7(9 ) 47:3- 7/ 4 9 <br />Email (optional): <br />Denver • Grand Junction • Durango <br />P1C1 <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />v\) • ►•1� <br />4 407ia (14c1 <br />Office of <br />Active and <br />