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+ r . STATE OF COLORADO <br /> DIVISION OF RECLAMATION,MINING AND SAFETY RECEIVED <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 n O L OI o N o0 <br /> Denver,Colorado 80203 JUL 3 0 2024 RECLAMATION <br /> Phone:(303)866-3567 MINING <br /> FAX:(303)832-8106 Colorado Division of Reclamation, —&— <br /> Mining and Safety SAFETY <br /> APPLICATION FORM <br /> ��,A A1Af tqR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> ADMINISTRATIVE INFORMATION <br /> Permit Information <br /> Permit Number: • ' r-i �i` Q 1�1 <br /> Operation Name: <br /> Permittee Information <br /> Contact Person: L . �0.rr�6r <br /> Company Name: ' Ceh���� C,w,- 11�L'L <br /> Street Address: S o(p s 0iaw UROa j o(o 545 UI."[1�, <br /> City: L QM 0 80. ��I <br /> State: �(0, railio Zip: j �Q <br /> Phone: (`]1!j <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: /-1 QrC_i„Lg <br /> Company Name: <br /> Street Address: <br /> City: A l" scil- <br /> State: LiV15 lor-CLAO Zip: &V <br /> Phone: (�� 0 — 7700( <br /> Email (optional): n^orte R Q ( (c��( I M <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />