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2013-12-10_REVISION - M1992045 (6)
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2013-12-10_REVISION - M1992045 (6)
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Last modified
6/16/2021 2:25:55 PM
Creation date
12/11/2013 4:47:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992045
IBM Index Class Name
REVISION
Doc Date
12/10/2013
Doc Name
Incomplete Application SO03
From
DRMS
To
Gold Basin Mine, LLC
Type & Sequence
SO3
Email Name
DMC
GRM
BJC
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this _ 52d day of No (- , <br />Gt/ <br />(SEAL) <br />0 <br />Title: <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />STATE OF a'xY\a,\ S ) <br />F <br />�011. `e— ss.: <br />COUNTY O <br />The foregoing instrument was acknowledged before me this '5� day of,� <br />by <br />as of <br />w�rM <br />tary Pub c <br />OFFICIAL SM <br />CATHERINE J Li*WCommi ion Expires 6' <br />NOTARY PUB"C • S T ATE OF ILLINOIS <br />MY COMMISSION EXPIRES 06/1715 <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: <br />Division Director <br />-13- <br />Date Executed: <br />Rev. 05/12 <br />
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