Laserfiche WebLink
� JCCOLORADO <br /> © Division of Reclamation, <br /> Mining and Safety RECEOVED <br /> Department of Natural Resources <br /> Nov 2 4 ZOZ1 <br /> Colorado Division of Redamatlon, <br /> Mining and Safety <br /> IMAGED DOCUMENTS REQUEST FORM <br /> Imaged documents can be viewed and downloaded free of charge online at <br /> https://dnrweblink.state.co.us/drms/search.aspx, or they can be purchased from DRMS. The purchase price <br /> includes costs for staff time related to data compilation and/or mailing costs. Data will consist of multiple pdf <br /> files and require the use of Adobe Acrobat Reader to be viewed. Please note that confidential bonding <br /> documents will not be included in the available files. The cost for file preparation is $10.00 per permit/file <br /> number. <br /> Please indicate the permit and/or file numbers for which you are requesting imaged documents: <br /> 1) M1985175 2) M1989128 3) M1984036 4) M2009018 <br /> Please indicate your preference below and return this form with your payment to the Division. <br /> ® USB Flash Drive Electronic Folder Link <br /> Mailing and Contact Information: <br /> Name: Brad Jones <br /> Company Name: yarra Companies, Inc. DRMS Use Only: <br /> Email Address: bjones@varracompanies.com <br /> Mailing Address: 8120 Gage Street Completed by: <br /> (Street Address) <br /> Frederick co 80516 <br /> (City) (State) (Zip) (Name) <br /> Daytime Phone Number: 3 0 3-6 6 6-6 6 5 7 <br /> Date <br /> Signature: <br /> Disclaimer: <br /> The Colorado Division of Reclamation, Allining and Safety(DRAIS)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 fi'orn its use. An}'data or iiijbi-mation provided b}'DRAIS is "as is ivithout anl'warranty of airy kind, either' <br /> evpress or implied, including but not limited to, the implied warranties of inerchantability and fitness for a particular purpose. Data or <br /> information provided by the DRAIS shall be used and relied upon only at the user's sole risk, and the user agrees to indeninify and hold <br /> harmless DRAIS, its officials, officers and enrplovees from auY liability arisin from the use of the data/information provided. <br /> DDVDOtdef Pm mSNovembci]01 7 <br /> hw QF� lo'� <br /> 1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 * ; ��w' <br /> ' 1* <br /> https://drms.cotorado.gov/Jared S. Polis, Governor I Dan Gibbs, Executive Director I Virginia Brannon, Director inva / <br />