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2021-05-18_REVISION - M1977392
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2021-05-18_REVISION - M1977392
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Entry Properties
Last modified
12/28/2024 10:26:21 AM
Creation date
5/19/2021 5:46:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977392
IBM Index Class Name
REVISION
Doc Date
5/18/2021
Doc Name
Incompleteness Response
From
General Shale
To
DRMS
Type & Sequence
SO1
Email Name
AME
MAC
SMS
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this t4 day of MAY <br /> r-2rx�K <br /> Opera r (SEAL,) <br /> By: I�L�� S l77C&5Z <br /> Title: _ 'P/46z &ik.41464e <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF CAS-\& ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this 13*day of <br /> by � as��C'4tTE ��1C111 CiC oS=) of rl�, <br /> r- <br /> MELISSA E HERNANDEZ Notary Publi <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My Commission Expires Arj2 <br /> NOTARY ID 19954001940 �— <br /> MY COMMISSION EXPIRES APRIL 7,2022 <br /> STATE OF COLOR-ADO <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 /> - 13 - <br />
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