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VIA IC10 3� <br /> PS14- STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY a C1 J <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C O L O R A D O <br /> Denver,Colorado 80203 o t v c s o N o e <br /> RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 —&— <br /> SAF ETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS ► p <br /> MAY 15 2018 <br /> ADMINISTRATIVE INFORMATION <br /> OIV18IW of ttEcuMaYroN <br /> MMi <br /> Permit Information (rtrw, 7A, <br /> Permit Number: /�f- /9q' -O 3 9 <br /> Operation Name: '/ <br /> Permittee Information <br /> Contact Person: PjClja—,Kd T7 1,i/ya <br /> Company Name: ��/�•-�%C L <br /> Street Address: �i �D rzir�sdn S'7L. <br /> City: jz �/den <br /> State: t4-0 Zip: Frp y�jo <br /> Phone: 7 D ) 7 Z 3 - �/,V 7 <br /> Email (optional): — <br /> Prospective Successor Information ,/ A jj rt PaJO4- <br /> Li,� <br /> Contact Person: jc r;l X 6.S'®r1 <br /> I� <br /> Company Name: O L. L,C • a y�, r7r I n d <br /> Street Address: 7Z&5: <br /> City: e lyl rl, <br /> State: eo Zip: K0 ye 7 <br /> Phone: (j 0-0 ) <br /> Email(optional): co nq <br /> Office of office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />