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2020-01-10_REVISION - M1990112
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2020-01-10_REVISION - M1990112
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Last modified
12/18/2024 11:20:43 AM
Creation date
1/10/2020 2:30:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990112
IBM Index Class Name
REVISION
Doc Date
1/10/2020
Doc Name
Request For Acreage Reduction
From
Fremont Paving & Redi-Mix
To
DRMS
Email Name
JPL
JLE
Media Type
D
Archive
No
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Operator(If Other than Permittee): <br /> Permittee Representative: Jodi Schreiber <br /> Certified Mail# 7014 2120 0001 6700 9402 <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names, addresses and phone numbers of all <br /> owners of record to the affected land. Please attach additional sheets for this information if required. <br /> Name Address Phone Number <br /> Colorado State Land Board 1127 Sherman Street, Suite 300, Denver,CO 80203 303-866-3454 <br /> In accordance with Rule 4.17.1(4), if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have complied with the following statement: "All applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with these Rules and all applicable requirements under the Act." <br /> 01/06/2020 <br /> Signa f Permittee, rator or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(J and 4.17.1 Q) This release request must be submitted to the <br /> Division via certified mail and separate,from any other correspondence to the Division. <br /> MiueralsReleaseReques[Form Mep2017 <br /> Page 2 of 2 <br />
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