Laserfiche WebLink
COLORADO <br /> Division of Reclamation, Ct <br /> • RECEN EW <br /> Mining and Safety <br /> Department of Natural Resources <br /> MAY � b 2021 <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> IMAGED DOCUMENTS CD/DVD REQUEST FORM <br /> Imaged documents can be viewed and downloaded free of charge in the reception area of the DRMS offices and <br /> online at http://mining.state.co.us/Reports/Pages/ImagedDocumentData.aspx, or they can be purchased on a CD <br /> or DVD. The CD/DVD purchase price includes costs for staff time related to data compilation and mailing <br /> costs. Data on the disk will consist of multiple pdf files and require the use of Adobe Acrobat Reader to be <br /> viewed. <br /> Please indicate the permit and/or file numbers for which you are requesting imaged documents: <br /> 1) M-2017-049 <br /> Please indicate your preference below and return this form with your payment to the Division. If a CD is <br /> requested and the data is too large for a CD, we will contact you. <br /> ❑ CD @$5.00 per disk(-700MB) F-1 DVD @$20.00 per disk(-4.7GB) <br /> Mailing and Contact Information: V DOWNLOAD LINK <br /> Name: Ben Langenfeld <br /> Company Name: Lewicki & Associates DRMS Use Only: <br /> Mailing CD/DVD created and <br /> Address: 3375 W Powers Circle tested by: <br /> (Street Address) <br /> Littleton CO 80123 <br /> (City) (State) (Zip) (Name) <br /> Daytime Phone Number: 303 960 5613 <br /> ate <br /> Signature: <br /> Disclaimer: <br /> The Colorado Division of Reclamation, ,Mining and Safety(DRMS)is not responsible and shall not be liable to the user for damages of <br /> any kind arising out of'the use of data or information provided by DRMS, including the installation of the data information,its use, or <br /> the results obtained from its use. Any data or information provided t,v DRAIS is "as is", without airy warranty of arty kind, either <br /> express or implied, including but not limited to, the implied warranties of merchantability and fitness.for a particular purpose. Data or <br /> information provided by the DRMS shall be used and relied upon only at the user's sole risk, and the user agrees to indemnift and hold <br /> harmless DRMS, its officials, of and employees from any liability arising from the use of the data/information provided. <br /> /DD V DOrdcrFonnXNo�ember20 U <br /> I <br /> OF c <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us I <br /> John W. Hickenlooper, Governor I Mike King, Executive Director I Virginia Brannon, Director #*la b 4 <br />