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2024-01-15_REVISION - C1981008
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2024-01-15_REVISION - C1981008
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Entry Properties
Last modified
1/16/2024 2:23:02 PM
Creation date
1/16/2024 2:14:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
1/15/2024
Doc Name
Application
From
Tri-State Energy
To
DRMS
Type & Sequence
SL27
Email Name
CCW
THM
Media Type
D
Archive
No
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New Horizon Mine <br /> IV. Notarized Statement <br /> Pursuant to Rule 3.03.2(1)(e)each bond release application is required to provide a notarized <br /> statement that the reclamation activities have been accomplished in accordance with the <br /> requirements of the act and the approved reclamation plan. <br /> I,Daniel J.Casiraro,Senior Manager Environmental Services,Tri-State Generation and <br /> Transmission Association,Inc.,hereby certify that the information contained within this <br /> application is correct and true to the best of my knowledge. <br /> Signed: <br /> Name: Chris Gilbreath <br /> Title: Senior Manager Remediation and Reclamation <br /> Tri-State Generation and Transmission Association,Inc. <br /> State of Colorado <br /> County of <br /> The f regoing instrument was acknowledged before me this day of 1 <br /> 20 by Chris Gilbreath,as the Senior Manager Remediation and Reclamation of Tri State <br /> Generation and Transmission Association,Inc.,a Colorado cooperative corporation,on behalf of <br /> the corporation. <br /> Daunice Lynn Kennedy <br /> NOYARY PUBLIC /644LUISPI_�_ 0-0q <br /> STATE OF COLORADO Notary Publ* <br /> NOTARY ID 20204014602 Print Name: 6/ <br /> nt� <br /> MY COMMISSION EXPIRES 412MO24 J <br /> Witness my hand and official seal <br /> My commission expires: <br /> - 412-2124 <br /> SL-27 Phase I Bond Release Page 4 <br />
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