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OFFICE of ARCHAEOLOGY <br /> and HISTORIC PRESERVATION <br /> File Access Request <br /> A completed and signed copy of this form is necessary to access both electronic and hardcopy OAHP cultural resource <br /> records. Requests for information can be submitted by e-mail (hc_filesearch@state.co.us), in hardcopy, or faxed (303- <br /> 866-2711). If you have questions or concerns, please e-mail or call us at 303-866-5216 or 303-866-3395. <br /> Some cultural resource information is confidential and may not be released to unauthorized individuals or <br /> organizations. Confidential information includes, but is not limited to, locational information for all archaeological <br /> and paleontological sites, and locational information on owner-restricted property listings. Individuals who are not <br /> granted release of confidential information will be referred to the landholding agency on record. <br /> Requestor's Name: Don Marr <br /> Organization: Yuma County Road and Bridge Dept. <br /> Address, City, State, zip: 1310 South Blake St. <br /> Wray Co 80758 <br /> Telephone, E-mail: 970-630-7033 email yumacountyrb@gmail.com <br /> Project Name/Number(for reference purposes): Smith Pit <br /> Reason for request(please check all that apply): <br /> Section 106 Related, lead government agency <br /> I am a member of planning staff devoted to the day to day management of a CLG Preservation Commission, <br /> specify CLG <br /> ❑This request is related to an SHF project <br /> I am a student or researcher seeking information for non-profit/personal research <br /> ✓ Other, specify Gravel Pit operation <br /> Remarks/Special Requests/Billing Information (if different from above): <br /> Request Tracking- To be completed by OAHP staff <br /> Received by: Date: Date Completed: <br /> Requested: In-house Mail Phone Fax E-mail Other: <br /> File Search ID: Locations of restricted resources provided? Yes No <br /> Fees <br /> File Search$ Reproductions$ Custom Search $ <br /> Rush Job $ Other(specify)$ <br /> Total Cost$ Invoice Number: <br /> History Colorado, 1200 Broadway, Denver, CO 80203 Revised March 2015 <br />