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STATE OF &OLORADO <br /> DIVISION OF RECLAMATION, MINING AND SAFETY ikeG rde' <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 ClO 2 2024 D O L O o N of <br /> Denver,Colorado 80203 1amdot', RECLAMATION <br /> Phone:(303) <br /> ING <br /> FAX:(303)832-810667 �olotadO0M \and s eti —&— <br /> Okng SAFETY <br /> APPLICATION FORM <br /> FOR TRANSFER OF MINERAL PERMIT AND <br /> SUCCESSION OF OPERATORS <br /> SO-1 <br /> ADMINISTRATIVE INFORMATION VEA/AME <br /> Permit Information <br /> Permit Number: f i\ 19 ' 0 0 cl <br /> Operation Name: , tA, +- <br /> Permittee Information 1 <br /> Contact Person: R r r t;8 <br /> Company Name: 3— i,, -1h <br /> Street Address: J'1 56 VK 14 14- <br /> City: Loq rnar- <br /> State: C�Q Zip: 8/ 0 <br /> Phone: ( 1 I ) 33 7 3 <br /> Email (optional): <br /> Prospective Successor Information <br /> Contact Person: TY\ q e K Lq c r`; 5A n <br /> Company Name: 'R't JtvS; t- l r e-✓R �.S, L L C <br /> Street Address: 3 D S "f CA 11 <br /> City: LA rn c <br /> State: (iI0 Zip: g \ 0 5 <br /> Phone: ( ) <br /> Email (optional): t,rSi 6.30cc)oAtsl1C, tqft,0.;(, Cbrh <br /> Office of Office of <br /> Mined Land Reclamation Denver•Grand Junction•Durango Active and <br /> Inactive Mines <br />