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STATE CIF COLORADO <br /> cllv—J�7 OF RECLAMATION,MINING AND SAFETY <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 C <br /> Denver,Colorado 80203 �• D r v t s t O rt DO OF <br /> Phone:(303)866-3567 Document Imaging C'D/DVD Erj0/E� CIAMA.TICIN <br /> FAX:f303i 832-8106 r. 1/ MINING <br /> REQUEST FORM I ----&— <br /> AUG -' 28 i l SAFETY <br /> Request for the DRMS document images on the following DRMS Permit file(s): DIVISION OF RECLWT10N <br /> 1) 1986040 2) 1994097 3) 4) MINING AND SAFVY <br /> The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br /> this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called. <br /> �✓ CD @$5.00 per disk F DVD @,$20.00 per disk <br /> Please check if you want a copy of the Directions for Use of CD/DVD <br /> The Permit File document images can be viewed in the reception area of the DRMI S office, online at www.tnrning.state.co.us,or <br /> they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br /> Basic Instructions: <br /> I. Insert CD/DVD into your disk drive <br /> 2. Click Yes to Accept the License Agreement for Lasertiche Plus Viewer <br /> 4. Lasertiche will Load, Opening the Start Page <br /> 5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br /> DBMS cannot provide computer related support. <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Mining and Safety (DBMS) is not responsible and shall not be liable to the user fol <br /> damages of any kind arising out of the use of data or information provided by the DBMS, including the installation of the data of <br /> information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br /> without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability <br /> and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user'4 <br /> sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabiht} <br /> arising out of the use of the data/inforrnation provided. <br /> Customer Mailing and Contact Information: <br /> Ben Langenreid DBMS use only <br /> I <br /> —�Pr-int Narne: <br /> Greg Lewicki and Associates tested D by created and <br /> Company: �'' <br /> Address: 4654 S Espana St <br /> Centennial, CO 80015 Date: <br /> Phone: 303 960-5613 <br /> Signature: — ---—_ <br /> - <br /> Ofi,ce o Office of <br /> Mined Land Reclamation Denver Grand)unction Durango Active and Inactive Mines <br />