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3 'AIL <br />i 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 />STATE OF COLORADO <br />,S RECIE E <br />D COLORADO <br />D I V I $ I O N OF <br />JAN 6 RECLAMATION <br />2013-\ / MINING <br />OFREO SAFETY <br />Wn <br />APPLICATION FORM �� <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />Permit Information <br />Permit Number: ,! - 0���11/ 0 <br />Operation Name: --bf Ckc yx S p ca %f <br />Permittee Information <br />Contact Person: M, I�' <br />Company Name: Gta<<'t M Il``,P ktl�,n <br />Street Address: � � u C� u n� „ W. <br />City: ril f I <br />State: Zip: f al�) <br />Phone: <br />Email (optional): 64 1 l-c t%. brdk -e h 4 Aeai` P a WJA, <br />Prospective Successor Information <br />Contact Person: M a/ h T 6 a, a <br />John W. Hickenlooper <br />Governor <br />Mike King <br />Executive Director <br />Loretta Pineda <br />Director <br />A tO <br />Company Name: g p l N rAjd,K-s t LL' <br />Street Address: 6 '� 7 t- <br />rvi►� <br />city: L ,'" o h RECEIVED <br />State: 'C o / o "- 410 <br />Zip: s0 6- 2 1— <br />Phone: (719 ) 7 y 0 — 2-1j;? <br />FEB 01 2013 <br />Email (optional): b a h m �1 ryt S n - o ,,,, DMWN OF RECLAMATION <br />MHNG D SAFIi� <br />ND V Ally <br />/t- k" / (2 1A 42-013 <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />Denver • Grand Junction • Durango <br />Office of <br />Active and <br />