1988-07-26_REVISION - M1980171

• Permit No: M1980171
• IBM Index Class Name: Revision
• Doc Date: 7/26/1988
• Doc Name: BACHELOR SYRACUSE MN SUCCESSION APPROVAL SO01 PN M-80-171
• From: MLRD
• To: BACHELOR SILVER MINES CO
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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,0. Correspondance Information
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual ' s Name: -Sa ;� Disman-'
Company Name: Ese � • , rt, c mi ana Tnc .
•heze�-d� vex
Street: pG. Bev
City: Ourav
State: CO Zip Code: 81427
Area Code: 303 Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual ' s Name: r.ari n; smant
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
INSPECTION CONTACT (if different from applicant/operator above)
Individual ' s Name: Carl Dismant
Company Name:
Street:
City:
State: Zip Code:
Area Code: Telephone:
11 . Primary future ❑ Cropland(CR) ❑ Pastureland(PL) ❑ General Agriculture(GA)
land use ❑ Rangeland(RL) ❑ Forestry(FR) )E3 Wildlife Habitat(WL )
(check one) : ❑ Residential (RS)❑ Recreation(RC) ❑ Industrial /Commercial (IC)
❑ Developed Water Resources(WR) ❑ Solid Waste Disposal (WD)
12. Primary present ❑ Cropland(CR) ❑ Pastureland(PL) ❑ General Agriculture(GA)
land use Q Rangeland(RL) ❑ Forestry(FR) ❑ Wildlife Habitat(WL)
(check one) : ❑ Residential (RS) ❑ Recreation(RC) ❑ Industrial/Commercial (IC)
❑ Developed Water Resources(WR) Mine
To the best of my knowledge, all the information prese�ed on th' application form and
the attached Exhibits A-G are true and correct (musts e si a applicant/op ator) .
Date: -��� By:
Carl Dismant
Owner
i e