01-23-15;23:23 ;Royal-Print-jng
<br />RECEIVED
<br />JAN 2 6 ?015
<br />13038328106 ;9705220811 # 2/ 2
<br />21. A!, requircd by (olornido Miined Land R.rclannal I on Ac( nud/t)T-O.dorado 1,10 P-Aclafllafinli A0 I'm 11-ic. Extravion of
<br />I�llatcrialx W'.R.S.. 34. 1?. -1 i 0 or R) iT);IS U'1101t t11,1t VC111 (ILLrAdr, 0.1r.
<br />prrmit boundiry, cam-ml itffected affn boultdalY "Ind 1t,caii(y11 or the im-ccnifes spo�c:fficd In itt.n -w1 7 12 mid 14,
<br />IP;T)A—'LET-)il,(jA!-,'ATTACRF,.r):
<br />Div)"Slon 7-4uly-dim 1,11dicate 1hc 116,11owing pc.rmiite,.c,. r.n.ntnr,L U-J*c.n.mation. jjfj)rjjjajjOn i.% ,,(;A, (,..jj*1.!j,,1
<br />4)jf,,FA
<br />(!1,
<br />pl'Unt Curvant coptict ink)pI.Inficul;
<br />permill.ce Coniact:
<br />Permitinc ('0111pmly;
<br />X -d-1 ir.,.*t S.S:
<br />Phone
<br />I Fnx Nim-6cr:
<br />IT;111'nil Aclr1rcm-;:
<br />iTr —ia I', -�411 1-to I . i . I ...
<br />Dumb and D-uniber Ti'LICkil L&I
<br />16653 Hwy. 14
<br />Sit-n-1111g.. CO '90751
<br />I, thu undursigned, huruby staic tha I the fnrovi-oatim-1 ill fljjS V(,.r jr, 0110 W)d at'XIMkIC, iMdt i I 1,ii SitC
<br />being concincted in accor dmin� �,Itll ]If- DiViSIML flp )[Ovccl Imiling 11"d Tvc hIT 1,11 iml plallq.
<br />P4
<br />Dw•n
<br />DIVISK;k ,.,. -. ,, -LAMATIONO
<br />MINING�,-MINERALS
<br />im aw-
<br />13.
<br />is weedCOUVOI 168g COMILICkA, in With "Ill f)Vf)N)VW,1 WV-fUi COIIU-01 PkIll'.1
<br />"lip, the wet"d control arv.n, c.olltrof IY1141 :tTliflicalioll vnir and O'CAtMCI-11 (t3 `u
<br />i.4.
<br />Is adc,Ljuai.c lopsoil 1'(11 11,15fA oll Your approvcd 11trmil?
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<br />pica-se: cxq)13171:
<br />15
<br />J4 dIC I•C—SICI-WA t0liSOi1 VUg.Ubl1UUSf;Ibi1iZR.d 1111
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<br />XMilill'161 [],'I% MJ)Oqed 111f, Silt: in col!Lphallix wid) ill,: mpprovcd miniijrT 1A t•c S t wc...
<br />1.1*11gillon'T. (Well Pcmlii, SM"S.P., 8FA101- Fermancnt Aup-innitition ).` an '
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<br />17.
<br />Are all 1127,11-dOUS illdf.UiUk FtOF?d Withill ap -L ct I i es?
<br />I PIT)WAI 8,13il! COI1!FFJ?1MCTI', I I
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<br />TS YOUl Ifinancial iwimwty valm. NUFficiew to cover fl.-Ic cost to ('01-opletc-, roclaillit'Liml?
<br />hS J\T C.
<br />1().
<br />I.,; your bisis fur legal right to cwcir �,,l ill v, led'
<br />?1\7,
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<br />T)oc.q yowl. pci-lilit. I-c-quirC YOU to SUI-NIlit (1101140-611,07 jll`lOFIDOioll I I'll Wd I IV!
<br />IC "Yus", plciisc aftneh flic requircd monitni Inp, i'(1.1softs to this Ammai Pxport.
<br />21. A!, requircd by (olornido Miined Land R.rclannal I on Ac( nud/t)T-O.dorado 1,10 P-Aclafllafinli A0 I'm 11-ic. Extravion of
<br />I�llatcrialx W'.R.S.. 34. 1?. -1 i 0 or R) iT);IS U'1101t t11,1t VC111 (ILLrAdr, 0.1r.
<br />prrmit boundiry, cam-ml itffected affn boultdalY "Ind 1t,caii(y11 or the im-ccnifes spo�c:fficd In itt.n -w1 7 12 mid 14,
<br />IP;T)A—'LET-)il,(jA!-,'ATTACRF,.r):
<br />Div)"Slon 7-4uly-dim 1,11dicate 1hc 116,11owing pc.rmiite,.c,. r.n.ntnr,L U-J*c.n.mation. jjfj)rjjjajjOn i.% ,,(;A, (,..jj*1.!j,,1
<br />4)jf,,FA
<br />(!1,
<br />pl'Unt Curvant coptict ink)pI.Inficul;
<br />permill.ce Coniact:
<br />Permitinc ('0111pmly;
<br />X -d-1 ir.,.*t S.S:
<br />Phone
<br />I Fnx Nim-6cr:
<br />IT;111'nil Aclr1rcm-;:
<br />iTr —ia I', -�411 1-to I . i . I ...
<br />Dumb and D-uniber Ti'LICkil L&I
<br />16653 Hwy. 14
<br />Sit-n-1111g.. CO '90751
<br />I, thu undursigned, huruby staic tha I the fnrovi-oatim-1 ill fljjS V(,.r jr, 0110 W)d at'XIMkIC, iMdt i I 1,ii SitC
<br />being concincted in accor dmin� �,Itll ]If- DiViSIML flp )[Ovccl Imiling 11"d Tvc hIT 1,11 iml plallq.
<br />P4
<br />Dw•n
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