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� � COLORADO �������� <br /> .. � Division oi Reclamation, �°� <br /> Mininq and Safety <br /> Departmeht of Natural Resources ��� O 7 2022 <br /> pIVISION C7F RECLAMATION, <br /> IMAGED DOCUMENTS REQUEST FORM MINING&SAFETY-MINERa.�-S <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 includes costs <br /> for staff time related to data compilation and/or mailing costs. Data will consist of multiple pdf files and require the use <br /> of Adobe Acrobat Reader to be viewed. Please note that confidential bonding documents will not be included in the <br /> available files. The cost for file preparation is $I5.00 per permit/file number. <br /> Please indicate the permit and/or file numbers for which you are requesting imaged documents: <br /> l� M2009018 2� 3) 4) <br /> Please indicate your preference below and return this form with your payment to the Division at: <br /> Colorado Division of Reclamation Mining and Safety <br /> Room 215 Attn: Active Mines Admin <br /> 1001 E 62nd Ave <br /> Denver, CO 80216 <br /> � USB Flash Drive 0 Electronic Folder Link <br /> Your Mailing and Contact Information: <br /> Brad Janes <br /> Name: <br /> Company Name: Varra Companies DRMS Use Only: <br /> Email Address: bjlforester@msn.com <br /> Mailing Address: 8120 Gage Street Completed by: <br /> (Street A ress) <br /> Frederick Cp 80516 SLB <br /> (Crty) � (State) ('Lip) (Name) <br /> Daytime Phone Number: 970-353-8310 03/30/2022 <br /> ate <br /> Signature: N/A <br /> Disclaimer: <br /> The('olorado Division of Reclamation,Nltntng and Safetv(DRMS)rs r�ot responsible and sha!/no!be/rable/o the user fa•damages of anv kind <br /> arising out of the use of data or informatron provrded by DRMS, rricluding the u�stallnt�on of the data informatron, ils use, or the results obtarned <br /> fi•om rts use �1 n}�duta or informaiia�proi>>ded hy DRAIS rs "us is", w�thou�a�ry u�ar�•airtv of u�n�kr��d, either e.rpress or rmp(ted,r��cladrng bz�t irot <br /> limrted to, the impl�ed warrant�es of inerchantabi/itv and frmess for cr�articulur pu��ose Data or infoimation provided by the DRti1S sha!(be used <br /> and relied upon only at the user's sole risk, nnd the user agrees to�ndemnifi�ay�d hold l2urmless DRA1S,its o�cra/s,officers and emplovees from any� <br /> liabilitv arisrng from the:�se of the data/rnformat�on provrded <br /> /DDV DuraerPomi8Novembe2017 <br /> ��F cp1�', <br /> �F• L^„y ..•F+ <br /> I F�, , ♦n�,%' �O, <br /> �til ( �- / ' <br /> 1313 Sherman Street, Room 215, Denver,CO 80203 P 303.866.3567 F 303.832.8106 , �*� <br /> « '+.' <br /> https://drms.colorado.Qov/Jared S. Polis,Governor � Dan Gibbs, Executive Director � Virginia Brannon, Director ��R���. � <br />