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2016-02-01_GENERAL DOCUMENTS - M1976032
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2016-02-01_GENERAL DOCUMENTS - M1976032
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Last modified
8/24/2016 6:15:55 PM
Creation date
2/4/2016 8:16:43 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1976032
IBM Index Class Name
General Documents
Doc Date
2/1/2016
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
Oldcastle SW Group, Inc. dba Telluride Gravel
To
DRMS
Email Name
SLB
Media Type
D
Archive
No
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Agreement to Conduct Permitting by Electronic Means <br />5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br />(30) days in the event that his/her authorization to execute ePermitting Documents <br />on the Company's behalf is terminated. <br />Further, Affiant sayeth not. <br />Peter Siegmund <br />Affiant's name <br />ignature <br />STATE OF: <br />COUNTY OF: <br />Notarized Affidavit of Signature <br />Colorado <br />) ss. <br />Mesa <br />The foregoing instrument was acknowledged <br />before me this __ day of January , 2016 by <br />(date) (month) (year) <br />as <br />Peter Siegmund Assistant Secretary <br />(Name of permittee representative) <br />GENE\/(EVE ?'v1. BLECHA <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTA RN ID #19914003259 <br />My Cnroml sfori r-4pir9S April 4, 2019 <br />(seal) <br />My Commission expires: <br />(title) <br />of Oldcastle SW Group, Inc. <br />dba Telluride Gravel <br />(permittee) <br />Page 5 of 6 <br />lied?) <br />NOTARY PUBLIC <br />
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