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STATE OF COLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St„Room 215 p O L O oN of <br /> Denver,Colorado 80203 RECLAMATION <br /> Phone:(303)866-3567 5 "� 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 ��I <br /> � I <br /> Permit Information <br /> Permit Number: M 1994-113 RECEIVED <br /> Operation Name: Pathfinder Pit 112- 2016 <br /> Permittee Information <br /> Contact Person: John Dourlet <br /> Company Name: Pathfinder Development, Inc <br /> Street Address: PO Box 3332 <br /> City: Telluride <br /> State: CO Zip: 81435 ✓ ��ZG <br /> Phone:A g7p ) 72g-0167 <br /> Email (optional): <br /> r(n„ Rpf- iolz�Its <br /> Prospective Successor Information PL) ro�W�ca <br /> Contact Person: Lynn M Black f rid <br /> Company Name: San Miguel County <br /> Street Address: 333 W Colorado Ave PO Box 1170 <br /> City: Telluride <br /> State: CO Zip: 81435 <br /> Phone: ( 970 ) 728-3844 <br /> Email (optional): lynnb@sanmiguelcountyco.gov <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />