Laserfiche WebLink
STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 S o/ z C O L O R A D O <br /> Denver,Colorado 80203 lll�l// DIVISION o f <br /> Phone:(303)866-3567 RE MINING <br /> TION <br /> FAX:(303)832-8106 —&— <br /> SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: <br /> Operation Name: <br /> Permittee Information <br /> Contact Person: QC-:M E TR/O VA Z. n t 77— <br /> Company Name: V,,9/— L r=7 �E SG ON,Q/00 RA-NG/4 <br /> Street Address: /©4) , /3 O-C C <br /> city: G19/v'�F J O s RECEIVED <br /> State: C—d Zip: -� g <br /> Phone: ( ) JUL 11 Z014 <br /> Division of Reclamatior& <br /> Email (optional): Mining&Safety <br /> Prospective Successor Information <br /> Contact Person: IE�/Iv,Qjl kojqlAI-5 �zr <br /> Company Name: /f O A91IV S 45bAJS MCJC7' / D A/ P <br /> Street Address: <br /> City: /)1V70N / 7-0 <br /> State: C-0 Zip: 5//2 0 <br /> Phone: l�9 ) 376 <br /> Email (optional): r a .g CDnS aC f/0/7, Go <br /> 41 JL,�e 6 y 1,20 <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand unction•Durango Active and <br /> Inactive Mines <br />