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<br />O.C. J12 Coal Mins - Petmk No. C-80-002 <br />Pri(n~or EttpCienp <br />Project Name .~hC~S CI~IZ~IAM ~. Date(sl `TVA ~~qJ <br />Project Owner_Q 1t1~1 F_'~ <br />Contact N?Ime R~-OY I~~I <br />Brief bescription of Project <br />DESr6NE~ Try <br />~~i3 B37 618/ <br />location and size) <br />r CuT+FitL /SAP-S <br />tN NEVnpld. <br />.Cucg7~ , <br />~ Project Name~n ~-~TArr.1~Fr <br />Project Owner ///l~eC©n <br />Contact Name 17L, r~lU' fEL1 <br />Brief Description of Project (include location <br />TJ~lNA.IvS D1sP~s~L A <br /> <br />7700 <br />size) <br />5ooroo0 c.y <br />NeAa2 dlfJ(o(~f AM . L~fAld1 1 DID IHE CITT ~f1Lt-- R~LAMiATl01~J <br />~[ANNIN(o OF -iFl>= S17~ I IrJU.l9~IN1r TOPe>6RpPNlC Ml~f?S i$E~P,;<+ <br />RF`f"F~ 1rt~.`C+-~l-4Ft~(9 N Cy ~ C~D55 s~CT io~ll~ r (,b c v/1tET~16 . <br />The undersigned agrees to comply with all Rules and Repulations\f the Colorado Surface Coal Mining <br />Reclamation Act, the General Conditions of the Purchase Order and~the Purchase Order Terms and <br />Conditions and all other requirements of these documents: ~ <br />individual or Company Name <br />Professional Certification No. <br />~~ <br />Pfione <br />r.y t of t o•a. <br />8 /3a <br />RECEIVED <br />p~~ 3 0 1995 <br />Division of Mlnetais ri G8°IogY <br />