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2019-08-28_REVISION - M1980244 (3)
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2019-08-28_REVISION - M1980244 (3)
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Entry Properties
Last modified
12/18/2024 12:29:23 PM
Creation date
8/29/2019 1:45:38 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
REVISION
Doc Date
8/28/2019
Doc Name
Decision Date Extension Request
From
CC&V
To
DRMS
Type & Sequence
TR117
Email Name
TC1
Media Type
D
Archive
No
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I <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X 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. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr.Timothy Cazier, P.E. <br /> Environmental Protection Specialist <br /> Division of Mining, Reclamation and Safety <br /> 1313 Sherman Street,Room 215 <br /> Denver,Colorado 80203 <br /> II I'III�I I'll�'� II ll l Ili lid Ill t I I)�II I I I III 3. Service Type ❑Priority Mail ExpressO <br /> I ❑Adult Signature ❑Registered MajlTM <br /> aIITm <br /> 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified WHO Delivery <br /> 9590 9402 4088 8092 5761 79 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM <br /> ured <br /> Mail ❑Signature Confirmation <br /> 7 018 0360 0001 19 5 7 5298 ured Mail Restricted Delivery Restricted Delivery <br /> er$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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