2019-06-14_PERMIT FILE - M2019037 ‎(2)‎

• Permit No: M2019037
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/14/2019
• Doc Name: Application
• From: Cheyenne County
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Media Type: D
• Archive: No

EXHIBIT I
PROOF OF FILING WITH COUNTY CLERK
I, &1-icw (Cheyenne County Clerk&Recorder's Office)received a
proposed gravel pit application, also known as the Ackerman Gravel Pit, on k' (date) for
public review pursuant to section 6.3.9 of the Mineral Rules and Regulations of the Colorado Mined
L nd Reclamation Board for the Extraction of Construction Materials.
(Signature)
4
(Title)