2021-10-19_REVISION - M2010036

• Permit No: M2010036
• IBM Index Class Name: REVISION
• Doc Date: 10/19/2021
• Doc Name Note: NO PROSPECTIVE SUCCESSOR INFORMATION! UNABLE TO PROCESS!
• Doc Name: Request For Succession Of Operator
• From: Rick Emsminger
• To: DRMS
• Email Name: BFB
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY REcEWED
Department of Natural Resources
1313 Sherman St.,Room 215 OCT 19 N DIVI
D COL S RA D O
SION OF
Denver,Colorado 80203 RECLAMATION
Phone:[phone] MINING
FAX:[phone] DIVISION OF RECLAMATION
MINING&SAFETY SAFETY
APPLICATION FORM
FOR TRANSFER OF MINERAL PERMIT AND
SUCCESSION OF OPERATORS
ADMINISTRATIVE INFORMATION
Permit Information
Permit Number:
Operation Name: 1JS t �tr t7) - 1 "t Z
Permitter Information
Contact Person:
Company Name: -K t'- 5 IM 1 <fll
Street Address: n �-�c� X
City:
State: CsJLk-ii Zip: `63 Q —7 --3 1
Phone: (�?0 ) 5 Z� -- �`7 Q S
Email (optional):
Prospective Successor Information
Contact Person:
Company Name:
Street Address:
City:
State: Zip:
Phone: ( )
Email(optional):
Office of Office of
Mined Land Reclamation Denver•Grand Junction•Durango Active and
Inactive Mines