2008-03-04_REVISION - M1990057

• Permit No: M1990057
• IBM Index Class Name: REVISION
• Doc Date: 3/4/2008
• Doc Name: Transfer of permit & succession of operators
• From: Capital Gold Corporation
• To: DRMS
• Type & Sequence: SO1
• Media Type: D
• Archive: No

-~-
TI. AllM.INISTRATIVE Is'~FURMATION:
1. Permit Number:
Z. Operation Name:
M- 1`1q~ -~57
M~C(~~;.-.o fe_ Sir-.c~-t- a.~~.. !ti .i\ S :~Z
3. Current Permitted Operator:
Contact Person:
Campany Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
~irea Code:
TRS Tax FD No. or Social Secuxity No.:
P ~ r3~x SSZ.
L tee. µ; ~\ e_
~--~ Zip Cade: g~ ~ ~ ~
Q 7® Telephone: ~ ~ ~ '" ~ ~ ~ ~
It'lr. ~. Scv-t~' uQZ~~~~"
N L:.,..s `far 1~
N ~ Lip Code: ~ 1~0 ~ ~
q 7 p `L l'-1 ~$ t 6 N
Z i'L 'T'elephone: ~ ~i ci " Z-'7 $S"
1 ~'~ - 3 x$ 0 5 3 e~
5. 4pplication Fee; $100A0 for Hard Rock operations; $l2S.t~tl for Construction lvlateriais operations
Make check payable to the Division of Reclamation, Mining and Safety