2011-03-28_REVISION - M1987143

• Permit No: M1987143
• IBM Index Class Name: Revision
• Doc Date: 3/28/2011
• Doc Name: New amendment application ‎(AM-01)‎
• From: CRG MIning LLC
• To: DRMS
• Type & Sequence: AM1
• Email Name: GRM
• Media Type: D
• Archive: No

-2-
9. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit):
Contact's Name: N o bQ r-l (x u d e-S e ,^ Title:
Company Name: C Kr-, m i 11 y vi o L L c

Street: 50 2, S a- Il l i S G e h S I VI P.O. Box:
City: (i U M11 1,5 DK
State: C16 • Zip Code: i Z 0
Telephone Number: ( 0170 Z - 596- 45?-0
Fax Number: ( ) -
PERMITTING CONTACT (if different from applicant/operator above):
Contact's Name: S am it Title:
Company Name:

Street: P.O. Box:
City:

State: Zip Code:
Telephone Number: L -
Fax Number: ) -
INSPECTION CONTACT:
Contact's Name: Same- Title:
Company Name:
Street: P.O. Box:
City:
State: Zip Code:
Telephone Number: ( ) -
Fax Number: ( )
CC: STATE OR FEDERAL LANDOWNER (if any):
Agency: y hPi' i' ? a.
Street:
City:
State:
Telephone Number: ( ) -
Agency:
Street:
City:
State:
any):
Zip Code:
Zip Code:
Telephone Number: Z -