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2016-04-05_PERMIT FILE - M2015028
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2016-04-05_PERMIT FILE - M2015028
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Last modified
8/24/2016 6:20:34 PM
Creation date
4/12/2016 9:33:02 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2015028
IBM Index Class Name
PERMIT FILE
Doc Date
4/5/2016
Doc Name
Adequace Response No. 3
From
Teton Drilling, Inc.
To
DRMS
Email Name
MAC
Media Type
D
Archive
No
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Limited Power Of Attorney <br />1, <br />it ick <br />Rettag‘ <e y.,,..� <br />eufi9�R e R <br />1 P Ne' of �' • ,.y <br />("Agent") to sign all required Colorado Division of Reclamation, ' i <br />Limited Impact Operation (110(1)) Reclamation Permit. <br />CZ C. <br />, hereby apPeihr <br />as my Attorney -in -Fact <br />Safety related forms for the <br />This Power of Attorney shall become effective immediately and shall not be affected by my disability or <br />lack of mental competence, except as may be provided otherwise by an applicable state statute. This is a <br />Limited Power of Attorney. This Limited Power of Attorney shall continue until December 31, 2015. This <br />Limited Power of Attorney may be revoked by me at any time by providing written notice to my Agent. <br />Dated ?— /‘" <br />;)SIGNATURE: <br />greade;/ <br />YOUR PRINTED FULL LEGAL NAME: <br />ct al act i7 q )0, l�C� <br />l <br />WITNESS' SIGNATURE: <br />WITNESS' PRINTED FULL LEGAL NAME: <br />WITNESS' SIGNATURE: <br />WITNESS' PRINTED FULL LEGAL NAME: <br />State ofLf2, County of <br />and sworn before me on en' <br />dcr <br />ADOLFO IntJR. <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20144034994 <br />MY COMMISSION EXPIRES WEIMERX04, 2018 <br />
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