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DRMS Minerals Revision Application C O L O R A D O <br /> 0 Division of Reclamation, <br /> Mining and Safety <br /> Department of Natural Resources <br /> Permit and Revision <br /> General Information <br /> Permit Number* Permit Type Revision Application Form Selection <br /> M1977342 112d-3 AM-Amendment(1) <br /> Application Fee <br /> $ 7475.00 <br /> Operation Name <br /> Henderson Mine <br /> The following pages will show the contact information we have on file for this permit. If any of it is inaccurate, you will <br /> have the opportunity to correct it after this form has been submitted. <br /> 1. Upon submission of this form you will be presented with a link to the contact information update form. <br /> 2. There is a question asking about the accuracy of this information. Indicating that it is inaccurate will send an e- <br /> mail to notify your administrator to make the appropriate changes. <br />