PERMFILE128173

• Permit No: M2005021
• IBM Index Class Name: Permit File
• Doc Date: 1/27/2006
• Doc Name: FW and PW Request
• From: DMG
• To: Oldcastle SW Group Inc. DBA United Companies of Mesa County
• 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 ,
Mesa County (SEAL)
Oldcastle S W Groun. Inc. dba United Companies of
Permittee
By:
Title:
NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT
STATE OF
COUNTY OF
ss.
The foregoing instrument was aclrnowledged before me this day of , by
as of
NOTARY PUBLIC
My Commission expires:
APPROVED:
State of Colorado
Mined Land Reclamation Board
Division of Minerals and Geology
By:
Date:
Division Director