2014-09-08_GENERAL DOCUMENTS - M1991037

• Permit No: M1991037
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 9/8/2014
• Doc Name: CD/DVD Request
• From: High Speed Mining LLC
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman St., Room 215
Denver, Colorado 80203
COLORADO
Phone: [phone] Document Imaging CD/DVD
g g
RECLAMATION
FAX: [phone]
REQUEST FORM
MINING
SAFETY
Request for the DRMS document images on the following DRMS Permit file(s):
I) /?- l - 0�7 2)
3)
4)
The DRMS document images can be copied to either a CD or a DVD. Please check one below and return
this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called.
CD @ $5.00 per disk _ DVD @ $20.00 per disk
Please check if you want a copy of the Directions for Use of CD /DVD
The Permit File document images can be viewed in the reception area of the DRMS office, online at www.mining.state.co.us, or
they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD.
Basic Instructions:
1. Insert CD/DVD into your disk drive
2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer
4. Laserfiche will Load, Opening the Start Page
5. Click on the Available Repository and Click Open, You are now ready to view the file(s).
DRMS cannot Provide computer related support
Disclaimer:
The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fc
damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data c
information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is
without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantabilit
and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user'
sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabilit
arising out of the use of the data/information provided.
Customer Mailing and Contact Information:
Print Name: Adj&z'? 4574�5 f 0a XT-
Company:? 7 ap�,Q -' - �. C—
Address:
Phone: 710, d 12 119
signature:
DRMS use only
CD/DVD created and
tested by:
5-
Date: 9-g-)4
RECEIYE�
Office of
Mined Land Reclamation SEP Office of
Denver • Grand )unction • Durango 0 8 7Q 14 Active and Inactive Mines
D utit, RECLA*TIO N
AND SAFE7y