2015-09-02_REVISION - M1985038

• Permit No: M1985038
• IBM Index Class Name: REVISION
• Doc Date: 9/2/2015
• Doc Name: Notice of 112c Construction Materials Reclamation Permit Release Request Consideration SL01
• From: DRMS
• To: Colorado Lien Company
• Type & Sequence: SL1
• Email Name: ACY
• Email Name: GRM
• Media Type: D
• Archive: No

-4-
AO►11T IONAL INFORMATION
Tnis space can'be referenced for further information of any of the items in this fonn.
To the best of any Knowledge, all the information presented in this application is true
and correct. /9
Oate: lune 14 D 85
(Rev. 9/83)
Joc. No. 5047
By:
(Signature by individual legally authorized to
bind the operator to this application)