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STATE Ole COLORADO D11/190tV OF MINEttAtS AND GEOLOGY / p~r,ent d NaNrai Rensuaxs tau ~a ~. Boon, its COLOMD ~~ ~er~p a02llt ~ i/ D i Y 1 f 1 O N 1 1~ X31 ~~~~ Document Imaging CD/DVD !!!/// M I N ~,R~A [ rAat: Dolt s3:else REQUEST FORM & INSTRUCTIONS G E O I; O G Requpt 1bt the DMQ image ~ the following DMCi permit 5le(a). t •"•• • •."'""`" l) A/~- ~ ~l "7 Ff' 3 ~ ~/ . 2) 3) 4) ale lJ,wii ' The D1JSQ docvmmt omega cat be copied to either a CD ar a DVD. PLase check om below and mmm this 4sdl ~~ form with yom payment to DMCi. If a GD is requested and the permit a too Loge far a CD, you wtll be called. Eiaei d1°°' ' Pleas slfow up ro S baeiaeaa Sys &sm the:eeeipt oFthb signed document far yon CD ar DVD to ba avu'lebla add W ~+Imr /// DWhlan Daarser tLenl Raw TnaYa ____ CD ®SS.00 per disk _ DVD ®520.00 per dish Pknae checJr ityoD want a copy of the Quialrview ioeeallacon insheratons. Colapnt>r regDhemmb to Dee the DMG doenmmt Imagtgg CD (or DVD): ' 1. Apsogravr called QdakVIew wi11 be espied to dte CD and must be installed as yoev canlpuber m cedar to use a DMQ imaging CD the Best lima F1rtme tae of this or other imaghtg CD's doe not eegnim a Iltlw ioedllatlon of the aoSwaee. 2. The CD oa DVD that yonpDechue>~ be m the ~. A DVD drive wr71 mad • CD ar DVD. 3. The CD w>til ~a Sla with fhe .tilmdemiom. Throe mars to be an Image viewing sppllcstlon fDr .tif Sles an your that wlll6andle single and m~age docmnents. An a Whedows J~ cas~tuer, the de8mit viewing prgglams see erred"Windows Picdue sod Fax Vieae~' ar "Pahri" and they do not woeic witlt 1ZatckView. The Imaging Vmerer that comes withpse-Windows 7~ aanepumn. doe vrotk. DMQ hu determined that a psogtam celled "IrfmVkar', which can be dotmIosded fl+~ hSnView.oom, doe aodo with QnickVIew. Attar dovmlosdiDg "IrfenView+', it needs m be coo8gated es your detBtth .titvLewar. DMd doe sot wppart or eadotae this software and the liceaahog and mgiatratlan ero the oasr's mapaoaibitky. Them aro may other programs that work a well, mch as "Imegiog Frevbw" sad "Imsgmg far Whldowa". ~e CD in0o yaw compDta. NOTB: A program called t~Oicl:View Anmmo, which runs the QaiclcVtew ~. Allow time for the CD ro instaD. eenap'piogrll~ bd aLo be®copiad to this ®. If the Aetomm ptogtam 3. $(xe the CD 6om the aompumer. sae. tQOT work you wlll need m marmally iasall the Qnickview program. 4. Reineart the CD ineo the Ineboctlons for malmelly ittatn!]Iag tZula:lVtmw am avaliLtble upon mquart S. Yon are wady to view the PermR Pilo, with the CD a can 6e visaed at wwar,minina.statacotu The PermitiFJle docnmmtJmages as bs vLiwed >o thereeeptl~ era oFtheDMG omee ear they as be pnrchascd ast t CD or DVD. The CD/DVD purchase cwt coven the tllae and Libor of aDakiag the CD. DMG eannot nrovtde mmnatar related mDDOrt DbcWmer. . The CoLxado Division of Minerals and (Ieology (DM13) ie not raponuble and shell na be lisble to the seer far damegw of sny ldad etising out oFthe use of data or information provided by the DMd, iocludmg the ~ehtlation of the data or informaton, ib we, ar the moults obtained from ib use Any deft of infDtmation provided by the DMd is provided "u u" without wamloty oFsgy kind, either expmu or implied, incl»diag, but sot Iimitead to, the implied evarrentia oPmetchanbbility sod 5taaxa for a particular purpose. Dots or' information provided by the DMC} shall be used s~ mlied upon only at the uee~e sole risk end the user agree to indemnify sod hold hsrmleu the DM(i, ib officials, oJ$een and employes tirom any liability arising alt of the use of the dst/informatioDprnvided. Customer Matling and Contact Informatlon: Print Name: tt' I c 2.. 4 1~ -C'~-~ f G ra „i -,oS /~ Company: 'F~'G n ~ ~ci-1'SC,t~/ C/ Addreu: I$'S S J t in ~ r ~ 2 ~ ic, c ~ ,1~~1 cR~ C o -~ Phone: 3 ~ ~ o Y'yf+-1 S1Qnature: ~~ 2..~ ~--~ ~~~ na~.a rva,~.~ DMC uu oniv `~V;~~a n