2021-10-05_REVISION - M2000118

• Permit No: M2000118
• IBM Index Class Name: REVISION
• Doc Date: 10/5/2021
• Doc Name: Incompleteness Response
• From: Oldcastle SW Group
• To: DRMS
• Type & Sequence: SO2
• Email Name: JPL
• Email Name: JLE
• Media Type: D
• Archive: No

1 ,
NOTARY FOR STRUCTURE OWNER WITHIN 200 FT of 5 MILE PIT AFFECTED AREA
ACKNOWLEDGED BY. _ (Signature of Officer)
Structure Owner: San Isabel Electric Association Name: °
Date: ���.2$�.2��.---Title: RNA -,, A /"47 A/,44Eq -
STATE OF C )
)ss.
COUNTY OF )
The foregoing was acknowledged before me this�9 day of 2021, by
as of
My Commission Expires: S
NotIfy Public
VANESSA CLEMENTI
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20214030902
MY COMMISSION EXPIRES AUGUST 03,2025