2008-10-17_REVISION - M1999120

• Permit No: M1999120
• IBM Index Class Name: REVISION
• Doc Date: 10/17/2008
• Doc Name: Adequacy Review Resonse 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
seep 0+
Signature of Representativ or Lupton Bottom Ditch Company Date
C?LrjE 614C- Iz kz?51(k l
Name and Title (please print)
State of Colorado )
)ss
County of )
e ns trument was acknowledged before me on this c?S day of
, 2004, by the signatory Representative above. Witness my hand and
official seal,
Notary
FL-LBDCAg reement-Sep2004. DOC
k' ':
My Commission Expires.
11
My Caou tft Exrm Jan.2Y,=