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Site Name: Fasse Pit S002 <br /> f <br /> M-1995-009 ✓ Complied ) <br /> NO Enforcememens, 4 Minor Infractions ERR, mac <br /> / Application Checklist <br /> l3 Application Form: Complete the form located on page 5. <br /> �. 7 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> • �� and Safety. <br /> dPerformance Warranty: Complete the form located on page 11. <br /> �❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> p� replacement Financial Warranties using the forms posted on the Division's website <br /> (available online at http://minin>?.state.co.us/Mineral%20Forms.htm). <br /> M/Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> 1� rights, obtain the documentation described above, and submit to the Division. <br /> \✓ <br /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> d• to do so. <br /> -4 - <br />