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�c1�Tw SO C 2003 p�2 <br />STATE OF COLORADO <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 />Permit Information <br />Permit Number: <br />Operation Name: �S <br />Permittee Information <br />Contact Person: <br />6 P7 - W- <br />C-e Ely Name: h )/L '3 QU710 T <br />Street Address: <br />City: <br />State: / Zip: 7 <br />Phone: ( �j!?) <br />Email (optional): <br />Prospective Successor Information <br />Contact Person: <br />Company Name: <br />Street Address: 's Z <br />City: f2 L <br />Phone: (1/9 ) 2 (•y 6 <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />altuEIVEri <br />'AIIt; 10 2012 <br />Div;: :i,, . :.ecr'011, <br />2 o d,3 <br />t <br />et-t /?;P <br />State: C..<..) Zip: ' /D6' <br />3 <br />Email (optional): J L tie 713 a 71151.0M <br />COLORADO <br />D I V I S I O N O F <br />RECLAMATION <br />MINING <br />SAFETY <br />John W Hickenlooper <br />Governor <br />Mike King <br />Executive Director <br />Loretta Pineda <br />Director <br />J R-r� S 1)&40,4,‘A. <br />11C/2 1J-i E3H ez.y4 ry Per ;r <br />Nov No4 <br />, s7 ,qlc - $ (//46/ <br />r ✓ pc cu BIIuI ZOlZ -- f <br />Office of <br />Denver • Grand Junction • Durango Active and <br />