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04/03/2015 08:58 3034237599 ENVIRONMENT INC PAGE 01 <br />STATE OF COLORADO. <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sht:rman St., Room 215 <br />Denver, Colorado 80203 COLORADO <br />7TJ <br />oevN of <br />Phone: !31 }31 866•3567 Document ;Imaging CD/DVD RECON <br />FAX_ (303) 832 -6106 MINING <br />REQUEST FORM ,.� �...� <br />SAp ET Y <br />Re gp st�fQr the ORMS document images on the following DBMS Permit file(s): <br />2) laculite 3) Soculite Mesa 4) <br />Mesa LLG ' <br />The ORMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DBMS. If CD is requested and the permit is too large for a CD, you will be called. <br />�✓ CD tub $5.00 per disk D DVD @ $20,00 per disk <br />Please check if you want a copy of the Directions for Use of CD/DVD <br />The Permit Pile document images can be viewed in the reception area of the ORMS office, online at -W! yw.nunillrx.st&te.co.us, or <br />they can be purchased on a CD or DVD. The CD /DV'b purchase cost covers the time and tabor of making the CD/DVD. <br />Basic Instructions: <br />1. Jnsert CD/DVD into your disk drive <br />2. Click Yes to Accept the License Agreement ror Laser(iche Plus Viewer <br />4. Laserfiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />S S cannot provide computer related s n t. <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user fot <br />damages of any kind arising out of tl.tc use of data or information provided by the ?ARMS, including the installation of the data of <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br />without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of mcrchantabilit) <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user',, <br />sole risk, and the user agrees to indemnify and hold harmless the DBMS, its officials, officers and employees front any liability <br />arising out of the use of the datalinformation provided. <br />Customer Mailing and Contact Information: <br />DRMS use only <br />Print Name: <br />Steve O'Brian <br />•"'-"' <br />CD/DVD created trod <br />Company: <br />Address: <br />EnyironMent, Inc .-- -.._.. <br />7985 Vance Dr #205A <br />tested by: <br />!w & A4 <br />Arvada, CO <br />Date: <br />Phone: <br />Signature: <br />303- 423 -7297 <br />Please call me when ready, I will come in, pickup the disk and pay for it, <br />O � Office Of <br />HiCC Of <br />Mined Land Rmlamallon Denver • Grand }unction • Durango Activp and inactive Mines <br />