2013-06-05_PERMIT FILE - M2012052 ‎(4)‎

• Permit No: M2012052
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/5/2013
• Doc Name: Completed 110d Permit Application
• From: Providence Mining, LLC
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

-2-
7. Correspondence Information:
APPLICANT /OPERATOR (name, address, and phone of name to be used on
permit)
Contact's Name: Shannon P. Murphy
Title: Manager
Company Name: Providence Mining, LLC
Street/P.O. Box: 100 W Bennett Ave
P.O. Box: 661
City: Cripple Creek
State: Colorado
Zip Code: 80813
Telephone Number: (7 19 _ 689 -2605
Fax Number: (7 1 9 _ 689 -2649
PERMITTING CONTACT (if different from applicant/operator above)
Contact's Name: Same
Title:
Company Name:
Street /P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number: ( )
Fax Number: ( ) -
INSPECTION CONTACT
Contact's Name: Shannon P Murphy
Title: Manager
Company Name:
Street/P.O. Box:
P.O. Box:
City:
State:
Zip Code:
Telephone Number: ( )
Fax Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: Not Applicable
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -
CC: STATE OR FEDERAL LANDOWNER (if any)
Agency: Not Applicable
Street:
City:
State:
Zip Code:
Telephone Number: ( ) -