2015-05-15_GENERAL DOCUMENTS - M1979075

• Permit No: M1979075
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 5/15/2015
• Doc Name: CD request
• From: Traylor, Black & Kane, P.C.
• To: DRMS
• Media Type: D
• Archive: No

STATE OF COLOFADO
DIVISION OF RKLAMATION, MINING AND SAFETY
Department of Natural Resources
1313 Sherman 5t., Room 215
Denver, Colorado 60203 COLORADO
N F
Phone: [phone]W3567 Document Imagitng CD/DVD RECLAMATION
FAX' [phone] MINING
REQUEST FORM , &—
SAF ETY
Request for the DRMS do nvima�es on the following DRMS Permit file(s):
!
1) MU9le 345 ) Mill,7-1 t) -P;) ilk 1q 7gA05 4) /kAcID5 07 4,) NLAsoa 13
The DRMS document im es 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 fora CD, you will be called.
NCD Q $5.00 per disk 11 DVD Q $20.00 per disk
F] 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.rruning.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 filets),
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 foi
damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data of
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 merchantability
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:��--
Company:
Address: 7 � 1 -v:) r %' Z.ort
t Y�r.fn r^wG lyW6� G0 &,i y (Q
Phone: 0 '21 la 3 G
Signature: � ✓
Office of
Mined Land Reciamatlon Denver • Grand )unction - Durango
DRMS use only
CD/DVD created and
testeT:
Date:
Office of
Active and Inactive Mines