2008-01-28_REVISION - M1990057

• Permit No: M1990057
• IBM Index Class Name: REVISION
• Doc Date: 1/28/2008
• Doc Name: Inadequate SO application
• From: Capital Gold Corporation
• To: DRMS
• Type & Sequence: SO1
• Email Name: ESC
• Media Type: D
• Archive: No

2-
I.I.
ADNIINISTRATIVE INFOPUMATION:
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. or Social Security No.
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C"D k d (' a Zip Code:
11 7 Telephone: Z 14 - 8 1,&
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Telephone: ?. ' .. a -
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5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining; and Safety