2013-12-10_REVISION - M1992045 ‎(6)‎

• 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
• Email Name: GRM
• Email Name: BJC
• Media Type: D
• Archive: No

-5-
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Reclamation, Mining and Safety
LO
Division Director
MAznin\sdue6oudfb ms\CASH BND.doc (0526/D4)
Date: