PERMFILE57249

• Permit No: M1981309
• IBM Index Class Name: Permit File
• Doc Date: 12/16/2002
• Doc Name: Decision Letter
• From: DMG
• To: Washington County
• 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 ,
Washington County (SEAL}
Permittee
By:
Title:
NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT
STATE OF
COUNTY OF
ss.
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 Minerals and Geology
By:
Division Director
Date:
M:b9s1Tdtl17EMP+M-AP-21 Jvf19813~ C~RS_20021126_120140 PM.doc