2004-08-21_REVISION - M1981057

• Permit No: M1981057
• IBM Index Class Name: Revision
• Doc Date: 8/21/2004
• Doc Name: Admin Info Replaced 9/16/04
• From: Arkins Park Stone Corp.
• To: DMG
• Type & Sequence: SO2
• 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
Operator
By:
Title:
NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT -
STATE OF
COUNTY OF
ss.
(SEAL)
The foregoing instrument was aclmowledged before me this day of ,
by as of
NOTARX PUBLIC
My Comrnission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Boazd
Division of Minerals and Geology
By: Date:
Division Director
M:~\chareVwndforzre~Perfo~manceWazlanty.dgc (05/26.2004)