2008-08-21_REVISION - M1978091UG

• Permit No: M1978091UG
• IBM Index Class Name: REVISION
• Doc Date: 8/21/2008
• Doc Name: Amendment application
• From: Gault Group Inc.
• To: DRMS
• Type & Sequence: AM3
• Email Name: RCO
• Media Type: D
• Archive: No

-2-
7. Correspondence Information:
APPLICA NT/OPERATOR (name. address, and phone of name to be used on permit)
Contact's Name: Kye Abraham_ _ Title: President
Company Name: LKA International Inc :_-- _- _-
Streev`P.O. Box: M 3724 47 St. C t NW P.O. Box:
City: Gig Harbor
State: Washington Zip Code: 9 8 3 3 5
Telephone Number: ( 2 5 3 _ 851-7486
Fax Number: ( 2 5 3 )_ 851-5449
PERIM.1'rFING CONTACT (if different from applicant/operator above)
Contact's Name: Karmen King Title: Aquatic Toxicologist
Company Name: Gault Group Inc.
Street/P.O. Box: 36 W Main St. P.O. Box:
City: Cortez _
State: Colorado Zip Code: 81321
Telephone Number: 970 l 565-1222 or 970 565-0278 _
Fax Number; 970 565-1226
( ) -
INSPECTION CONTACT
Contact's Name: Karmen King Title: Aquatic Toxicologist
Company Name: Gault Group Inc.
StreebT.O. Box: 36 W Main St. P.O. Box:
City: Cortez -
State: Colorado Zip Code: 81321
970 565-1222 or 970 -0278
'T'elephone Number. ? ) -
Fax Number: j 9 7 0_ 565-1226
CC: STATE OR FEDERAL, LANDOWNER (if any)
Agency: Bureau of Land Management (Level 6 area only)
Street: 216 N Colorado-
City: Gunnison
State: Colorado Zip Code: 81230____
Telephone Number: t____970
____9 7 0 1- 641-0471
CC: STATE {}R I?1 I7.1 IZAL LANDObVNER if4nyj
Agency: _.
Street:
City --------
State: Zip Code:
Telephone Number: (____ ._. ._ ) - -_____ ___:_-___.- -__-• -._ .__. ...._____ ___.__.__________ .___-____ -_ _.