2003-04-09_REVISION - M1977378

• Permit No: M1977378
• IBM Index Class Name: Revision
• Doc Date: 4/9/2003
• Doc Name: Amendment Application
• From: Sunnyside Gold Corp
• To: DMG
• Type & Sequence: AM5
• Media Type: D
• Archive: No

-2-
10.
(if different from applicant/operator above)
Larry Perino Tide:Reclamation Manager
same as above
Company Name: S„nn~ci AP (;old Corooration
Street/P.O. Box: ~I l fa a rl G t nn P P.O. Box: 17 7
City. Ci 1 vartnn
State: Co 1 orado Zip Code: 81433
Area Code: ( 97(1 1 Telephone: _387-5533
Fax Number: ( 970 ) Telephone: [phone]
Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name:
Individual's Name:
Company Name:
Street/P.O. Box:
City
State:
Area Code:
Fax Number:
Individual's Name:
Company Name:
Street/P.O. Box:
City.
State:
Area Code:
Fax Number:
Telephone:
Telephone:
Tittle:
Zip Code:
same as above Title:
Telephone:
Telephone:
CC: STATE OR FEDERAL LANDOWNER (if an
Zip Code:
Agency.
Street.
City.
State: Zip Code:
Area Code: ( 1 Telephone:
CC: STATE OR FEDERAL LANDOWNER (if anv)
Agency:
Street:
City:
State: Zip Code:
Area Code: ( 1 Telephone: