2006-11-09_REVISION - M1983209 ‎(3)‎

• Permit No: M1983209
• IBM Index Class Name: Revision
• Doc Date: 11/9/2006
• Doc Name: S.O. Approval
• From: DRMS ets
• To: Western Slope Construction Co.
• Type & Sequence: SO1
• Media Type: D
• Archive: No

-5-
SIGNED, SEALED~AND DATED this ~_ day of ~~o /~ ~ .
l't/ t5~~rv~ ~J~%k-C~o~sL(SEALl
Operator
By:
Signature
Title: O+ti n e r--
NOTARIZATION OF OPERATOR'S ACKNOWLEDGMENT
STATE OF ~ Q~,D~_)
COUNTY OF~~~~ ) ss.
The foregoing instrument
day of
as _
APPROVED:
by
of
~..~ :m=_ ~. Cpl ®.I~
pVBt.IG ;%po - NOTARY PUBLIC
M Commission ex fires:
State of Colorado
Mined Land Reclamation Boazd
Division of nd Geology .,~y
By: ~~`"~ ~~~ /Date:
Division Director
03-Z5 ' 43
3633F.bnd
REVISED 6%