REV10897

• Permit No: C1981023
• IBM Index Class Name: Revision
• Doc Date: 5/5/2003
• Doc Name: Copy of Approved Renewal Sent to OSM, BLM, USFS & County
• From: Greystone Environmental Consultants Inc
• To: DMG
• Type & Sequence: RN4
• Media Type: D
• Archive: No

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j . ~ Complete dams 1, 2; and 3 aso:com-plate - 9!~ n . p A ant ~ '
I kem 4 if Restdcted:Debvery Is tles(ired, X. -: g - ~ I
- I . ~_ Pdrit.your name grid address on'=the reverse_ - ~ -Addressee ;
' -~so that wB cah return tke card to you. - - g, Receryed by (p -- erne) C. p ~e o DelNery j
I ~ Attach this card to the back of the meilplece, 7,/ ~
.;. or on the front "rfspace pegnks:=- '. - . - --. ~
- ~ ~D. Is delivery address diRerent tibrn kerri.l7 . O-Yes -, ,,
11. Aitlcle Addressed to: - If YES, enter delivery address below: ^ No
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~ ~ ': LJ Registen3d- ~Retum Receipt for,MeicharMlse ;t
f /'~ ~~ICJ®( ~//~~ O~~Insured.Meil- ^ C.O.Di - "'•
~ I lS~/ l:J ( J(f'T 4. F2esVicted DeINer7/1 (Exaa Fee) 0 Yee -"~i
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" ( ^Complete kems~l;~2, and 3. Also complete"% ASignature ~ ~ _.-F;
i' " ~ ttem 4 if Restricted Delivery is desired: - ? X ^ Agent
4: ~ PdnYyoername Arid address on the reverse ~ ' "` ^ Addressee'';
~~r:h~'ry$o that we can return the card to you. " . 8. Received by.(Pdnted Name) C. -Date of " INery -~
6 7~Attach this card to the back of, the mailpiece; .. ~ I.
P `' or on,the front if space permks. - ' - ~ - ~ '
~, -. - D. Is delivery eddressdifiererR from item 17 ~ Yes `~ 'i
1 Article Addressed to: .~ w,} `~+ - ".If YES, enter deli address below - • 'O No-
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I ~' Xy X ~ ; .'~ / ~ c ~ Registered rt .Of Return Receipt for Meichendise
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. i t e ~ ~" ;`~ '.4',RasMded'DeMBr)?(Ex6a FBB) 4 ^~Yes .~ ,.~
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PS Form