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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 />V 2 0),,15�2, <br />STATE OF COLORADO <br />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />ADMINISTRATIVE INFORMATION <br />COLORADO <br />D I V1 S I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />RECEIVED <br />AJU 18 2015 <br />Permit Information DIVISION QF RECLAMATION, <br />Permit Number: 1 V ► – 0,9 MINIP �; AND SAFETY <br />Operation Name: e � <br />Permittee Information <br />Contact Person: Aoill F1,9 <br />Company Name: <br />Street Address: 3), 62 1� r✓_n 3,7 5- , V, OX' 7.32 <br />City: Lq iio o r <br />State: �a Lora —la Zip: -2 <br />Phone: (71q -356 3 t 77 <br />Email (optional): <br />Yl <br />Prospective Successor Information <br />Contact Person: .� kj1 `i1 tM t� <br />Company Name: T,t 6a++�-Q �L C ZI ' <br />Street Address: L q Zq 14,-4 2. e7 ZI _ <br />City: L,(/, t( Ir <br />State: c --"C) Zip: f D <br />Phone: (71'7 ) 6 f / jS ( 7 <br />Email (optional): l uS/7 vt. -f 1A0 r 5 d t/ ("Cilt/l <br />,/ G ff Wp <br />Office of Office of <br />Mined Land Reclamation Denver • Grand Junction • Durango Active and <br />Inactive Mines <br />