2011-04-08_REVISION - M1983011 ‎(6)‎

• Permit No: M1983011
• IBM Index Class Name: REVISION
• Doc Date: 4/8/2011
• Doc Name: Conversion application ‎(CN-01)‎ to a 112
• From: Mt. Elbert Mining Co., LLC
• To: DRMS
• Type & Sequence: CN1
• Email Name: DMC
• Media Type: D
• Archive: No

-3-
13. Correspondence Information:
APPLICANT/OPERATOR (name, address, and phone of name to be used on permit)
Individual's Name: Kay Blecha Title: Manager
Company Name: Mt. Elbert Mining Co., L.L.C.
Street/P.O. Box: P.O. Box: 16851
City: Denver
State: Colorado Zip Code: 80216
Area Code: (303 ) Telephone: [phone]
Fax Number: (303 ) Telephone: [phone]
PERMITTING CONTACT (if different from applicant/operator above)
Individual's Name: Angela M. Bellantoni Title: President
any Name:
Com Environmental Alternatives Inc
p
Street/P.O. Box: 1107 Main Street P.O. Box:
City: Canon City
State: Colorado Zip Code: 81212
Area Code: (719 ) Telephone: [phone]
Fax Number: (719 ) Telephone: [phone]

INSPECTION CONTACT
Individual's Name:
Company Name:
Street/P.O. Box:
City:
State:
Area Code:
Fax Number:
Kay Blecha
Mt. Elbert Mining Co., L.L.C.
:O. Box:
Colorado
Colorado
(303 )
( )
CC: STATE OR FEDERAL LANDOWNER (if any)
A enc • US Department of Agriculture, Forest Service
g Y•
Street: 810 Front Street
City: Leadville
State: Colorado
Area Code: (719 )
CC: STATE OR FEDERAL LANDOWNER (if any)

Agency:
Street:
City:
State:
Area Code: ( )
Telephone: [phone]
Telephone:
Telephone: [phone]
Zip Code: 80461
Telephone:
Title: Manager
Zip Code: 80216
Zip Code: