APPCOR12700

• Permit No: C1980002
• IBM Index Class Name: Application Correspondence
• Doc Date: 9/13/1995
• Doc Name: ORDER
• Media Type: D
• Archive: No

O.C. #2 Coal Mine -Permit No. C-80-002
Prior Experience
1 Project
Project Owner
Contact Name
Brief Description of Project linclude location and size)
2 Project Name Datels)
Project Owner
Contact Name Phone
Brief Description of Project linclude location and size)
The undersigned agrees to comply with all Rules and Regulations of the Colorado Surface Coal Mining
Reclamation Act, the General Conditions of the Purchase Order and the Purchase Order Terms and
Conditions and all other requirements of these documents:
Individual or Company Name
Professional Certification No
Date
Address
Phone
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