Laserfiche WebLink
RPM,Inc. <br /> Operator(If Other than Pennittee;): NA <br /> Pemrittee Representative: Jerald Schnabe <br /> Certified'�iail T Z CY-11,$ C�3 U-5 <br /> In accordance with Rule 4.17.1(2)the Operator shrill include the names.,addresses and phone nttntbers of all <br /> owners of record to the affected land_ Please attach additional sheets for this information if required_ <br /> %,line Address Phone Number <br /> Colo.Water P.rottectt'.e and DevetopmentAssn, 205 S. Main St, Fowler, Ca 81039 719-826-2597 <br /> In accordance with Rule 4.17.1(4),if requesting a partial acreage release the Operator or their agent MUST sign that <br /> they have complied with the following statement: 'AU applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with these Rides and all applicable requirements under the Act." <br /> Si:nature of Permittee.Operator or their authorized agent Date <br /> Intportant: In accordance t+`irli Rules 4.14.2(a)and 4.17.1L-�) This release 7=tie-st nnrst be stibinitted ro the <br /> Division via certijred mail and separate front ani,other correspondence to the DAIsion. <br /> �Scua:sRenrF.a1vszror¢'_:?"see�=�i' <br /> Page 2 of! <br /> RPM,Inc.,25049 E.Alder Dr.,.`Aurora,CO 80016 Phone:(303)854-7499 Email:hlhtiinphries2 dcoineast.net <br />