1995-10-27_REVISION - M1977002HR

• Permit No: M1977002HR
• IBM Index Class Name: Revision
• Doc Date: 10/27/1995
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
• Type & Sequence: CN1
• Media Type: D
• Archive: No

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I
4. 1 understand that statements in the application are being made under penalty of perjury
and that false statements made herein are punishable as a Class I misdemeanor pursuant
to Section 18-8-503, C.R.S.
Signed and dated this 16th day of October, 1995.
If Corporation Attest (Seal)
Appli Operator
i
By: Nathan A. Barton, P.E., D.E.E.
Tltle: Environmental and Permtting By: Craig Grotenhouse, Esq.
Compliance Engineer Corporate Secretary or Equivalent
Town/City/County Clerk
State of South Dakota )
)ss.
County of Pennington )
The foregoing instrument was acknowledged before me this day of October, 1995.
Amy HosAitler, Notary Public
My Commission Expires: 3 JAN 2009
2823F (02/05/93)