2020-02-20_INSPECTION - M2009006

• Permit No: M2009006
• IBM Index Class Name: Inspection
• Doc Date: 2/20/2020
• Doc Name: Returned Mail
• From: DRMS
• To: Colorado Quarry, LLC
• Email Name: AME
• Media Type: D
• Archive: No

SIGNED, SEALED AND DATED this day of
Operator (SEAL)
By:
Title:
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF
) ss.:
COUNTY OF )
The foregoing instrument was acknowledged before me this day of
by as of
Notary Public
My Commission Expires
STATE OF COLORADO
DEPARTMENT OF NATURAL RESOURCES
MINED LAND RECLAMATION BOARD
DIVISION OF RECLAMATION,MINING AND SAFETY
By: Date Executed:
Division Director
Rev.05/12
- 13 -