PERMFILE109273

• Permit No: M2001001
• IBM Index Class Name: Permit File
• Doc Date: 5/17/2001
• From: CFAR
• To: DMG
• Media Type: D
• Archive: No

AU`J'I~OR17A'CION TO REPRESENT A Pt1RTY
(Please Tvpe Or Print The Requested Information
Received
MAY ]. 7 200!
SIG;LtTURES ~IL'ST 13E IN B(.UE INIk Durango Field Office
~~ Division of Minerals 8 Geology
(Person's Yame) o _ (Tidt)
a ~/~ ~ctirrz~7•/s ~,2 ~cu/.t/TAri ~ i7~ ~-/~/~..c.is/Bic / ~//~
of ~__ C~~,C_ ((name ofcompany/, association, organizatitn, et`c~) am yn
authorized to dele;ate ~l/~,1~ IU~Cz~~,F~ , a /~~~"~ mil' ~~1~/~
(Person's Name) (Consultant, etc.)
to represent .~L~ (name of person, company, association,
organization, etc.) at the Pre-hearing Conference and/or Hearin; before the Mined Land Reclamation
Horad in this matter. Representative's phone number (9~0 1 ~~~ -~D~~ ,and address
(StrcctAddress) ~ (City) (State) (7]P)
DATED THIS _--_1~ DAY OF , ~d~
/~ , f-
(must be signed in blue ink)
IF corporation attest (seal)
STATr OF
ss.
COUNTY OF`_ !r~ 1!i/~'1d~ )
r /~'r~
The farep ~ instrum nt was t! tnowled~e'd txfore me this ~~tlay of ~DO~ ,
NOT RY PUBLIC
My Commission cspires: ~ `°~~~~
StGr,\TUAES hIUST AF, 1N nLUt Iii th
nt ~„q,~~~m~s,,. e,,.:, ~n.~,~ .n acpra., m , r,~,y dac