2014-08-15_REVISION - M2005032 ‎(3)‎

• Permit No: M2005032
• IBM Index Class Name: REVISION
• Doc Date: 8/15/2014
• Doc Name: SO Application
• From: JC Farms Inc
• To: DRMS
• Type & Sequence: SO1
• Email Name: ERR
• Email Name: TAK
• Media Type: D
• Archive: No

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DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural in
50 /
1313 Sherman St., Room 215
Denver, Colorado 80203
Phone: [phone]
FAX: [phone]
STATE OF COLORADO
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APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
Permit Information
Pennit Number:
ADMINISTRATIVE INFORMATION
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Operation Name: ( CJrc
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Permittee Information
Contact Person:
Company Name:
Street Address: jj /ey 6.) �ZA
City: (4 t&om
State:
Zip: S-U7S 57
Phone: ( 970 ) C-250 0 &5
Email (optional): tL 76, --m.S �%!�8 C� VaAoo- con,
Prospective Successor Information
Contact Person: j e g Spr act lie.,
Company Name: C 'Fa-r ms I n C
Street Address: 55 /c3 q Cv Id 2- 7-
City: (I LAYYt
State: C(� Zip: pU7�j
Phone: ( 970 ) Co30- 0855
Email (optional): "C 1%99 ya ti vv, e-or-n
COLORADO
D I V I S ION OF
RECLAMATION
MINING
SAFETY
RECEIVED
DIVISION of KtI;I MA
MINING AND SAFETY
1 JS
Office of Office of
Mined Land Reclamation Denver • Grand Junction • Durango Active and
Inactive Mines