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"k/ 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 ()A <br /> RECLAMATION <br /> Phone:(303)866-3567 r n J /f MINING <br /> FAX:(303)832-8106 l(j` I `t' <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: - 00 l <br /> Operation Name: .Q, <br /> Permittee Information _ RECEIVED <br /> Contact Person: ,) O•e_ -Q• <br /> Company Name: .¢ RP-OkAtelI APR 0 7 201 6 <br /> Street Address: <br /> POO 3 E�Vlsirn <br /> IWal,uroq-&Wety <br /> City:—La S A A i M(A 5 <br /> State: A20 Zip: D I V'N <br /> Phone: ( ')I q <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: C <br /> Company Name: �J,Q,n C O c1,(\+V <br /> Street Address: /n� P O Q p� 3 S C) <br /> L (Y�i fl I►�1 �y��+� <br /> City: a s I`1/�N. x% - � W1 v' i,k loll 1:-4 <br /> State: C L Zip: 8 119 5 -dt t -0110 <br /> Phone:J It q ) y 5 6 o�'a.�Z,3 <br /> Email (optional): !j en}, q A tn'%c\ @ -e-/y+c-o c& • net <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines 5 <br />