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

5-33
NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Noble Energy, Inc.
Representative Name Ryan D.Antonio
Representative Signature '".�._,..�
Date � ?s. O/ � Title Land Manager
STATE OF�Z/- )�-A t'-� )
) SS'
COUNTY OF LJC--)—N )
4-
The foregoing was acknowledged before me this k day of� . 2019, by
Ryan D. Antonio as Attorney-In-Fact of Noble Energy, Inc.
My Commission Expires:
Notary Public
r DONNA L TODD
Notary Public
State of Colorado
Notary ID#20044006032
My Commission Expires 08-t 4-2023
Keenesburg No. 2 Mine—Reclamation Operation—November 22, 2019