2019-11-27_PERMIT FILE - M2019058 ‎(19)‎

• Permit No: M2019058
• IBM Index Class Name: Permit File
• Doc Date: 11/27/2019
• Doc Name Note: Exhibit S - Permanent Man-Made Structures
• Doc Name: Application
• From: Colorado Sand Company LLC
• To: DRMS
• Email Name: MAC
• Email Name: BFB
• Media Type: D
• Archive: No

S-21
NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Guttersen Ranches, LLCC
Representative Name
Date l b 1 3 04ot c% Title Yy,AcN 0C fx C K
STATE OF )
COUNTY OF
The foregoing was acknowledged before me this day of 2019, by
as of
My Commission Expires:
Notary Public
Keenesburg No. 2 Mine—Reclamation Operation—November 22, 2019