2002-09-17_REVISION - M2001085

• Permit No: M2001085
• IBM Index Class Name: Revision
• Doc Date: 9/17/2002
• Doc Name: Amendment Application
• From: Adams County RV Park LLC dba 124th Estates Partners
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

10) Timothy Thoms, 11010 East 120`" Avenue, Henderson, CO 80640 (structure =
convenience store on the south side of 120' Avenue)
Application to Amend - 13 - 124`" Estates Partners, LLC
DMG 1 ]2 Reclamation Permit M-2001-085 124`" Estates Sand and Gravel Mine
Scott Keen -September 2002 Henderson, Colorado