2014-08-04_PERMIT FILE - M2014045

• Permit No: M2014045
• IBM Index Class Name: Permit File
• Doc Date: 8/4/2014
• Doc Name: New 110 ‎(2)‎ Application
• From: Mineral Mountain Gold, LLC
• To: DRMS
• Email Name: TAK
• Email Name: TC1
• Media Type: D
• Archive: No

-2-
9. Corresaondence Information:
APPLICANT/OPERATOR (name,address,and phone of name to be used on permit):
Contact's Name: Lance Barker Title: President
Company Name: Mineral Mountain Gold, LLC
Street: P.O.Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: 219 ) _ 689-5965
Fax Number: ( Z -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: Lance Barker Title: President
Company Name: Mineral Mountain Gold, LLC
Street: P.O.Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: (719 ) _ 689-5965
Fax Number: Z -
INSPECTION CONTACT:
Contact's Name: Lance Barker Title:
Company Name: Mineral Mountain Gold, LLC
Street: P.O.Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: P70 ) _ 497-9057
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: Not Applicable
Street:
City:
State: Zip Code:
Telephone Number: ( Z -
CC: STATE OR FEDERAL LANDOWNER if any):
Agency: Not Applicable
Street:
City:
State: Zip Code:
Telephone Number: ) -