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Disposition Authorization <br />ibr <br />Mined Land Reclamation Permits <br />Surface Coa! Mining Reclamation Permits <br />C.RS. 3432-11T(10xa) t 3433170(4) <br />FiECEa~lE® <br />~o~~ n F nn(t' <br />Division of Minersts and <br />I,~i'an ~ /A>a~so ~'1 ,agentfOr .7~TY7i~/~/yl r G1~ t'i <br />agree to reclaim the fonowing peamt copy deposited with the Rio Bianco County Glerk <br />and Recorder for public notice on or before ~,,,~., / ? o,? 6 <br />o..~n.~ <br />If the public notice requirett>cau for the permit are e~ctended beyond the above date, the <br />County Cleric will be noti5ed in writting of the new retention date. <br />Authorirstion is ha+eby granted for desauction of the copy of the permit deposited with <br />the Rio Blanco Couaityy Cleric after the above date or eateasion date if unclaimed. <br />Name of Permit S ~~m r~c <br />Company <br />Agent Date <br />