1998-03-04_REVISION - M1977248

• Permit No: M1977248
• IBM Index Class Name: Revision
• Doc Date: 3/4/1998
• Doc Name: PW-SO Appl
• From: DMG
• To: Telluride Mining Co.
• Type & Sequence: SO2
• Media Type: D
• Archive: No

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II

ADMINISTRATIVE INFORMATION:
1. Permit Number;
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS tax ID No.
5. Aoolication Fee

-z-
~- 77- ~~~
C~TT~ ~
~~azl ~ ~ ~~~ .
~IA-~F min~n~ "
P,~ max 7 OFD
/j~ /~ Zip Code: ~/h'7S~ 090
~U Telephone: ~/5~-- 7i%%S
I v LG 1 r,~ i1,o /T 1,' nq, n t Z~G .
/l~a~ L/0.~~
.J~i~l a a~sC zip Code: /D/13(o
9~~ Te]ephone: ,~~ ~- S~P~
or Social Security No.:
$100.00
Make check payahle to the Dlvisfon of Minerals and Geology