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REGE�v�p <br />,U` 2� 2p11 <br />pvts� cu01g S�dY <br />• Sender: Please print your name, address, and ZIP+4® in this <br />State of Colorado 201? <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety clamation, <br />1313 Sherman Street, Suite 215 — - - u Safety <br />-9jje jyfijV6F9203 C-2009-087 <br />SL -4 <br />Notification Insp <br />tnl/ahh <br />till,,;,.i,��i;�,i�i <br />■ Complete items 1, 2, and 3. Also <br />item 4 if ReEe <br />■ Print your ad 'cc <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Erin Scott, CDPHE <br />Unit Manager <br />Permits Unit 3 <br />4300 Cherry Creek Drive South <br />Denver, CO 80246 <br />, Signature .;.. <br />If;, <br />Z• q <br />WED Q Agent <br />❑Addressee <br />B. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 014 0150 000091385600 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />UNITED STATES T��PRVICE <br />111111 <br />First -Class Mail <br />Postage &Fees Paid <br />-18 'V <br />USPS <br />Permit No. G-10 <br />REGE�v�p <br />,U` 2� 2p11 <br />pvts� cu01g S�dY <br />• Sender: Please print your name, address, and ZIP+4® in this <br />State of Colorado 201? <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety clamation, <br />1313 Sherman Street, Suite 215 — - - u Safety <br />-9jje jyfijV6F9203 C-2009-087 <br />SL -4 <br />Notification Insp <br />tnl/ahh <br />till,,;,.i,��i;�,i�i <br />■ Complete items 1, 2, and 3. Also <br />item 4 if ReEe <br />■ Print your ad 'cc <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Erin Scott, CDPHE <br />Unit Manager <br />Permits Unit 3 <br />4300 Cherry Creek Drive South <br />Denver, CO 80246 <br />, Signature .;.. <br />If;, <br />Z• q <br />WED Q Agent <br />❑Addressee <br />B. Received by (Printed Name) I C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) 7 014 0150 000091385600 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />