2021-04-27_REVISION - M2014045

• Permit No: M2014045
• IBM Index Class Name: REVISION
• Doc Date: 4/27/2021
• Doc Name: Request For Amendment To Permit
• From: Mineral Mountain Gold, LLC
• To: DRMS
• Type & Sequence: AM1
• Email Name: ERR
• Email Name: JDM
• Email Name: AWA
• Media Type: D
• Archive: No

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7. Correspondence 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: P.O. Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: (719 )_ 689-5965
Fax Number: ( )-
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: P.O.Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: (719 )_ 689-5965
Fax Number:
INSPECTION CONTACT
Contact's Name: Lance Barker Title:President
Company Name. Mineral Mountain Gold, LLC
Street/P.O.Box: P.O. Box: 247
City: Cripple Creek
State: Colorado Zip Code: 80813
Telephone Number: (719 )_ 689-5965
Fax Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any)
Agency: Not Applicable
Street:
City:
State: Zip Code:
Telephone Number: ( )-
CC: STATE OR FEDERAL LANDOWNER(if any
Agency: Not Applicable
Street:
City:
State: Zip Code:
Telephone Number: ( )-