2005-08-05_REVISION - M1977493

• Permit No: M1977493
• IBM Index Class Name: Revision
• Doc Date: 8/5/2005
• Doc Name: Amendment Application
• From: Climax Molybdenum Company
• To: DMG
• Type & Sequence: AM5
• Media Type: D
• Archive: No

-3-
10. Correspondence Information:
APPLICANT/OPBRATOR (name, address, ~annd phone of name to be used on permit)
Individual's Name: ~)7cD /~L~A/~~iQ
Company Name: ~l .SAX /yle~(~l)<AIUM ~.`•H1'~f ,if y
Street: ~~, 13p,( ~Sj P.O. Box:
city: EMPIdE
State: G (,7 ~ Zip Code: ~ O 7 J S _
Area Code: ( .~O 3 ) Telephone: S~(i ~J' 3ZZ ~ ..~ ~/~3
PBRMITTINO CONTACT (if differppent from applicant/operator above)
Individual's Name: iJKytf /zcr7~C-
Company Name:
Street:
City:
State:
Area Code:
IN9PBCTION CONTACT
Individual~e Name:
Company Name:
Box: J., ~
.J(~Y CvVo
street: Hlti/Y 9/ , fREMo~ 1/r4sS P.o. Box:
City: (rG J/yJ/9JC
State: (~[~ Zip~UjCode: ~{ O y Z~
Area Code: ( ~~ ) Telephone: -/ J~ '"Z/~O X ~~a
CC: 9TAT8 OR FBDHRAL LAND097NSR (if any)
Agency:
Street:
City:
State:
Area Code:
CC: STATB OR FHDHRAL LANDO-7NHR (if any)
Agency:
Street:
city:
State:
Area Code:
Telephone:
Telephone:
Zip Code:
Zip Code:
Zi//p Code: x O~ ~~
( 3(~3 ) Telephone: ~H9 ~ Z~/ X /~7~