2018-04-18_PERMIT FILE - P2018008

• Permit No: P2018008
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/18/2018
• Doc Name: Application
• From: Robert Berry
• To: DRMS
• Email Name: MAC
• Email Name: WHE
• Email Name: SLB
• Media Type: D
• Archive: No

SIGNED, SEALED AND DATED this day of
Operator (SEAL)
By:
Title:
NOTAWMTION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF
ss.:
COUNTY OF
ent was acknowledged befi me this day of
by je'jregomg MI strum 11 e ,N
as
iN,
Notary Public V,
My Commission Expires
TAD H LUCAS THRASHER
Notary Public
STATE OF COLORADO State of Colorado
DEPARTMENT OF NATURAL RESOURCES Notary ID 20114041608
My Commission Expires Jul 6, 2019
MINED LAND RECLAMATION BOARD
DIVISION OF RECLAMATION,MINING AND SAFETY
By: Date Executed:
Division Director
Rev.05/12
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