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t CEMYENNE COUNTY BOARD OF COMMISSIONERS <br />P.O. Box 567,51 Soulh 1" Cheyenne Wells, CO 80810 Mlebsite: w%"v.co.cheycnne.co.us <br />Phone: (719) 767-5872 FiLm (719) 767-5753 Eimtil: ccadmin@rebeltec.net <br />January 10, 2017 <br />Division of Reclamation, Mining & Safety <br />Attn. Timothy A. Cazier, P.E. <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Re: Incompleteness Response; M-2016-075 L <br />Dear Mr. Cazier: <br />RECEIVED <br />I JAN 17 20V <br />M1 AM OF RECLAMATION <br />W1lIiG AND IiJ1FETY <br />The purpose of this letter is to respond to the Incompleteness Notice for the aforementioned Limited Impact (I 10) <br />Operation Reclamation Permit Application for consideration in Cheyenne County, Colorado. Each section of the <br />Incomplete Sections is listed below. <br />APPLICATION FORM <br />1. Correspondence information on page 2 of application missing information for both the <br />Permitting Contact and the Inspection Contact. Attached is a revised page 2 of the <br />application identifying that the Permitting Contact and the Inspection Contact are the <br />Same as Applicant/Operator Contact. <br />2. The certification page (Page 7 of the application) contains blanks for date acknowledged by <br />the notary Patricia Daugherty. Attached is a new page 7 of the application with all areas <br />filled in by notary. <br />EXHIBIT I T Proof of Filing with County Clerk (Rule 6.3.4) <br />1. Any changes or additions to the application on file with the Division, must also be reflected <br />in the public review copy. Attached is a signed Exhibit I document by the Clerk and Recorder's <br />office showing proof of filing with County Clerk that the copy has been updated in response to <br />the Incompleteness Notice. <br />Thank you for your time regarding this matter. If you have any questions or concerns, please do not hesitate to <br />contact this office at the address, phone number or email address listed above. <br />Sincerely, <br />�ouo- nu7 <br />Marcy L. Br ssman <br />Cheyenne County Administrator <br />Attachments <br />Rod Pelton, Commissioner Chairman Nancy Bogenhagen, Conan ssioner Patrick J. Ward, Commissioner Nice Chairman <br />Marc, L. Brossman, Administrator Patricia Daugherty, Clerk to the Board <br />