2021-02-23_PERMIT FILE - M2021014 ‎(3)‎

• Permit No: M2021014
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/23/2021
• Doc Name: Application
• From: Castle Rock Construction Company of Colorado
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

ACKNOWLEDGEMENT RECEIPT
Cheyenne County Clerk
I hereby acknowledge that on �p�{� I—tit,at,r-u P �b�f (Date), Castle Rock
Construction Company left in this office a copy ofa mining permit application which
they submitted to the Colorado Division of Minerals and Geology requesting permission
to mine borrow material from the property located in the Northwest '/4 of the Northwest '/4 of
Section 34, T16S, R48W
It is understood,that by signing for the receipt of this application, neither the person
signing nor this office assumes any responsibility as to the accuracy of the information
which it contains, endorses this application, or assumes any responsibility for it
whatsoever.
Sign:A,,6, 0 /111."4416-D Date: 249
Print:�c�