2008-10-15_REVISION - M1999120

• Permit No: M1999120
• IBM Index Class Name: REVISION
• Doc Date: 10/15/2008
• Doc Name: Adequacy Review Responses and Extension Request
• From: L.G. Everist, Inc.
• To: DRMS
• Type & Sequence: TR3
• Email Name: ECS
• Media Type: D
• Archive: No

Agreed by the Structure Owner: LUPTON BOTTOM DITCH COMPANY
-?- -23 SAP' 04
Signature of Representativ or Lupton Bottom Ditch Company Date
i , I r
Name and Title (please print)
State of Colorado )
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)
County of Ojkjyb -
e fo egoing instrument was acknowledged before me on this C?3 day of
2004, by the signatory Representative above. Witness my hand and
official seal,
Notary
My Commission Expires. OZO
FL• -BDCAgreement-Sep2004.DOC 11
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