REV14571

• Permit No: M1994117
• IBM Index Class Name: Revision
• Doc Date: 6/16/1998
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO2
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
c; ty:
State:
Area Code:
M-94-117
Gold Hill Mill
Curtis Bernhardt
Colina Oro Molino, Inc.
76 Beaver Street, Suite 500
New York
NY Zip Code: boos
415 Telephone: [phone]
4. Successor Operator:
Contact Person: Maxine Stewart
Company Name: ITEC Environmental Colorado, Inc.
Street: 707 17th Street, Suite 3120
5. Application Fee: $100.00
Clty: Denver
State: co
Area Code: 303
IRS lax ID No. or Social Security No.: _
Zip Code: Bo2oz
Telephone: [phone]

Make check payable to the Division of Minerals and Geology