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CA STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> COLORADO <br /> 1313 Sherman St.,Room 215 -� DIVISION OF <br /> Denver,Colorado 80203 ,moi/V ��'`� RECLAMATION <br /> Phone:(303)866-3567 MINING <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: M-1992-051 i I Z c. <br /> Operation Name: Florence Sand & Gravel r, p <br /> Permittee Information RECEIVED <br /> Contact Person: Sheila Rodarmel DEC 2 1 2P15 <br /> Company Name: Florence Sand & Gravel Pit <br /> Division of-Reclanlation, <br /> Street Address: 799 5th Street Mining&Safety <br /> City: Penrose <br /> State: Colorado Zip: 81240 <br /> Phone: ( 719 ) 372-6025 • <br /> Email (optional): SGP NW 44115 <br /> dWit b <br /> Prospective Successor Information ✓ 130 <br /> Contact Person: /�1,'e_ n S��,r, 64611/J <br /> Company Name: LQ,r, s�� (o nc r cle_ �, � ( P <br /> Street Address: qb„,2 ,-/-11 (A n Ise n Circ e-� <br /> City: f ocr n t e. <br /> State: (0 /0 rod, Zip: _ 8/ 22Z(, <br /> Phone: (7 I d ) 7$q- 3s 7 -- —Email (optional): 11/t a(lido u n n e �c;.tom <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />