Laserfiche WebLink
\ Application Checklist <br /> O Application Form:Complete the form located on page 5. <br /> 'U Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> Performance Warranty:Complete the form located on page 11. <br /> �1 Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> replacement Financial Warranties using the forms posted on the Division's website <br /> (available online at httD:Hmining.state.co.u-s-/Mineral`/`2OForms.htLu). <br /> Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> rights,obtain the documentation described above, and submit to the Division. <br /> ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. rJ i — ��P�zs� see �-#ac�l, /P <br /> RECEIVED <br /> MAY 2 6 2017 <br /> of Redamat"ron, <br /> Mining,&Safety <br /> - 4- <br />