My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2023-09-20_REVISION - M1977344
DRMS
>
Day Forward
>
Revision
>
Minerals
>
M1977344
>
2023-09-20_REVISION - M1977344
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
9/21/2023 8:39:00 PM
Creation date
9/21/2023 7:45:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977344
IBM Index Class Name
Revision
Doc Date
9/20/2023
Doc Name
Request For Acreage Reduction
From
Holcim Inc
To
DRMS
Type & Sequence
AR2
Email Name
TC1
MAC
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
5
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Operator(If Other than Permittee): <br /> Permittee Representative: Michael Toelle <br /> Certified Mail# 7019-2280-0000-5304-7699 <br /> In accordance with Rule 4.17.1(2)the Operator shall include the names,addresses and phone numbers of all <br /> owners of record to the affected land. Please attach additional sheets for this information if required. <br /> Name Address Phone Number <br /> Holcim (US) Inc. 3500 Highway 120, Florence, CO 81226 (719) 288-1443 <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: "All applicable portions of the Reclamation Plan requirements <br /> have been satisfied in accordance with these Rules and all applicable requirements under the Act." <br /> � � �/."'it �, / ZU ZaZ3 <br /> Signature of Permittee, Opera or or their authorized agent Date <br /> Important: In accordance with Rules 4.14.2(a)and 4.17.1(3) This release request must be submitted to the <br /> Division via certified mail and separate from any other correspondence to the Division. <br /> Min=IsReleweRequestFom Mep2017 <br /> Page 2 of 2 <br />
The URL can be used to link to this page
Your browser does not support the video tag.