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2020-04-28_PERMIT FILE - M2020024
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2020-04-28_PERMIT FILE - M2020024
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Entry Properties
Last modified
4/30/2020 7:24:34 AM
Creation date
4/29/2020 4:03:06 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2020024
IBM Index Class Name
PERMIT FILE
Doc Date
4/28/2020
Doc Name
Application
From
APC Southern Construction Co. LLC
To
DRMS
Email Name
ECS
MAC
AWA
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this 31 d day of Yi I , <br /> PC- S 71€`fe7J0 AftA cri;011 Co, Uc <br /> Oper. 4.4w (SEAL) <br /> By: W‘c-C1)-eff <br /> Title: c. /ve S ! I — <br /> C,0 <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF ID r(&j ) <br /> ss.: <br /> COUNTY OFA ., ( Can ) <br /> The foregoing instrument wast acknowledged before me this 3 day ofA -1\1::•V:r <br /> > i�1 <br /> 1 <br /> by—Z( 4 l�CbOlVaIa as c t.�f S oft+rPC, YY L ti or <br /> V � <br /> TERESE VIRGINIA LOMBARD j Notary t (AilAA.Ct <br /> NotaryPublic <br /> Stateteofof Coloradc My Commission Expires �- <br /> 4 <br /> Notary ID#20194005945 <br /> I My Commission Expires 02-12-2023 <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION,MINING AND SAFETY <br /> By: Date Executed: <br /> Division Director <br /> Rev. 05/12 <br /> - 3 - <br />
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