2025-04-09_REVISION - M2019018

• Permit No: M2019018
• IBM Index Class Name: Revision
• Doc Date: 4/9/2025
• Doc Name: Incompleteness Response
• From: BSG Landholdings, LLC.
• To: DRMS
• Type & Sequence: SO1
• Email Name: RDZ
• Email Name: AME
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER WITHIN 200 FT OF 5 MILE PIT AFFECTED AREA
ACKNOWLEGED BY:
Structure Owner Name
Date Title
STATE OF )
)ss.
COUNTY OF )
The foregoing was acknowledged before me this day of , 20_, by
as of
My Commission Expires:
Notary Public