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STATE OF CO LORADO <br /> DIVISION OF RECLAMATION, MINING ANC - --` <br /> Department of Natural Resources M-1983-164 <br /> Site Name:Gallegos Pit C O L O R A D O <br /> 1313 Sherman St., Room 215 COMPLIED D I V I S I O N o f <br /> Denver,Colorado 80203 No yioLATIONs[!� RECLAMATION <br /> Phone:(303)866-3567 S003 MINING <br /> FAX:(303)832-8106 /jw,whe —&— <br /> 'NO Certified Receipt SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND RECE�VEp <br /> SUCCESSION OF OPERATORS <br /> AUG 2 3 2018 A-�-- <br /> DNis1oN of <br /> ADMINISTRATIVE INFORMATION MiNiNGANDSAFETVON <br /> Permit Information Permit Number: IA` — l���� � (Oil <br /> Operation Name: y� <br /> Permittee Information <br /> Contact Person: P (ACE-D <br /> Company Name: <br /> Street Address: �; . T�3 X �� <br /> City: <br /> State: Zip: <br /> Phone: ( 'J � t ) <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: <br /> Company Name: <br /> " 7 <br /> Street Address: ` o Y)o �( l <br /> city: 0 Atu <br /> State: Zip: <br /> Phone: ( `� �� ) ��� l 6"�-D <br /> Email (optional): ���,�� C O�r�� Irv, l Y\ce�/1 <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> inactive Mines <br />