Laserfiche WebLink
ZYMIN CORPORATION <br /> R ISED NOT CE AND APPLICATION RECEIVED FOR REVIEW THIS DAY OF <br /> vy � , 2018: <br /> ZyMin orporation's revised Notice of Application and Application form for Colorado Mined <br /> Land Reclamation Permit for Hard Rock/Metal Mines Limited Impact 110(2) Operation for the <br /> Ten Percenter Claim (DRMS M-2018-036, BLM CMC254209, USFS File Code 2810, USFS MPO- <br /> 2018-004). <br /> Additionally hereby acknowledged is receipt of ZyMin's full Application (now revised) for <br /> Colorado Mined Land Reclamation Permit for Hard Rock/Metal Mines Limited Impact 110(2) <br /> Operation for the Ten Percenter Claim (DRMS M-2018-036, BLM CMC254209, USFS File Code <br /> 2810, USFS MPO-2018-004) on or about the 051h day of July 2018. <br /> BY: <br /> SIGNATU <br /> PRINT NAME: r Ln <br /> FOR: TELLER-PARK CONSERVATION DISTRICT <br /> WOODLAND PARK, COLORADO <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. g atu <br /> ■ Print your name and address on the reverse <br /> Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C.fl:�/ <br /> of D iveer�y <br /> or on the front if space permits. /lim 1-; T/ <br /> 1. Article Addressed to: D. Is delivery address different from item 1? C3 Yes <br /> If YES,enter delivery address below: ❑ No <br /> t�0, $ox z9z:_7_ Fe�6 <br /> uloj- b",1,3 PWV_1 Cv <br /> 3.I�III�IIIIII'IIIIIII�IIIII'IIIIIIIIIIIIIIIII El Adult e 0 Priority ' p Signature ❑RegsteredMail*r4 <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9403 0660 5183 4807 27 ❑Certified MOO Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service labeo ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation- <br /> - ❑Insured Mail ❑Signature Confirmation <br /> 7014 1820 0001 7q�11�1i'� �I�illifltll��eh�gff(kf ��91IYiiIIiI��IctedDelivery <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> TEL: 719.634.6685/719.634.2384 MOBILE: CO: 719.648.8170 NV: 775.934.8156 <br />