2010-12-02_REVISION - M1983011

• Permit No: M1983011
• IBM Index Class Name: REVISION
• Doc Date: 12/2/2010
• Doc Name: SO application ‎(SO-02)‎
• From: Mt. Elbert Mining Co., LLC
• To: DRMS
• Type & Sequence: SO2
• Email Name: DMC
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
M-1983-011
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.:
Willow Creek Mine
Patrick M. Dangerfield
Jelen & Son, Inc.
14000 W 44th Street
Golden
Colorado Zip Code: 80403
Telephone:
Kay Blecha
Mt. Elbert Mining Co., L.L.C.
P.O. Box 16851
Denver
Colorado Zip Code: 80216
303 Telephone: [phone]
5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety