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5 STATE OF COLORADO <br />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 />APPLICATION FORM <br />FOR TRANSFER OF MINERAL PERMIT AND <br />SUCCESSION OF OPERATORS <br />Permit Information <br />M1997o27 <br />M ooy 1Scctpe Ths i <br />Permittee Information <br />4ctii e_ <br />Company Name: o i m i n A.. <br />, <br />Street Address: c2 3 (42 g Unnofi I l l,917 ,J <br />City: Al0r)±rDr_ <br />Permit Number: <br />Operation Name: <br />ADMINISTRATIVE INFORMATION <br />Contact Person: <br />COLORADO <br />DIVISION OF <br />RECLAMATION <br />MINING <br />— &— <br />SAFETY <br />ni ttU/ <br />REC . IVED <br />MAR 03 116 <br />�u�rei.,L <br />Division of ReclamatiON <br />Mining & Safety <br />State: CO <br />Zip: <br />1403 <br />Phone: (77O) 2149- 87RO <br />Email (optional): -7AAje erocklmoo„,—N,444cAeserte._ <br />Prospective Successor Information <br />NacL»ice Litt/fel( <br />C ra j ocl; Are tk COm pariti, <br />Street Address: ?o TyoX <br />Contact Person: <br />Company Name: <br />City: 10 <br />CAO Zip: <br />g lLID <br />Phone: (y70 ) a-09 - S 2 75 <br />Email (optional): ic.t'10214LU e7(hfJii71 (.cov0_ <br />(1u -t --r -" Z.9r 2 - b o Ks .Cert <br />*co LLL <br />Office of <br />Mined Land Reclamation <br />Inactive Mines <br />Denver • Grand Junction • Durango <br />Office of <br />Active and <br />