PERMFILE56466

• Permit No: M2006060
• IBM Index Class Name: Permit File
• Doc Date: 12/1/2006
• Doc Name: P/W REquest for Const Mat Ops that do not require a F/W
• From: DRMS rmw
• To: Jackson County Road and Bridge
• Media Type: D
• Archive: No

-3-
The provisions hereof shall bind and inure to the benefit of the parties hereto and their successors -and assigns.
SIGNED, SEALED AND DATED this day of ,
Jackson County Road and Bridge (SEAL)
Operator
By:
Title:
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT
STATE OF
ss.
COUNTY OF 1
The foregoing instrument was acknowledged before me this day of
by
as
of
NOTARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Boazd
Division of Reclamation, Mining and Safety
sy:
Division Director
Date:
M:NrinVtuewunarome~Pe'rumaae wannnb.a« (OS/26/2004)