2010-10-21_PERMIT FILE - M2010058

• Permit No: M2010058
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/21/2010
• Doc Name: Proof of Notification for Cerise Mine 112 Reclamation Permit Application
• From: Tetra Tech
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

¦ Complete items 1, 2, and 3. Also complete A.
Item 4 If Restricted Delivery 1s desired.
¦ Print your name and address on the reverse
so that we can return the card to you. B.
¦ Attach this card to the back of the mallplece,
or on the front if space permits.
1. Artl a Addressed to: D.

Holy Cross Energy
3799 Highway 82
Glenwood Springs, CO 81601
wY
? Agent
?;Addressee r
R d by (Printed Name) C.. Date of Delivery !
i` 1,Oq tat C?
Is de! ery add rent from item 1? ? Yes
Ii YES, en,dell ery address below: ? No
Q ?
Sq
I
3 Service type
Certified mail ? Express mail
? egistered );JTetum Receipt for Merchandise
? Insured Mail / ? C.O.D. i
4. Restricted Delivery? (Extra Fee) O Yes 7
2. Article Number 7009 2250 0003 7645 9805
(imansfer from sen4ce labeo i
Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
(Domestic Only; No Insurance Coverage Provicted)
O
CID For delivery information visit our
A L U S E
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-0 Postage s r t 1 T,
Cenifted Fee
rn 4rostrnark o
C3 Return Receipt Fee Here`, In
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O (Endorsement Required)
Restricted Delivery Fee '
r (Endorsement Required)
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ill Total Postage o
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Sent To
117 oireefllpiNSi Holy Cross Energy
C3 or PO Box No. 3799 Highway 82
I'- Glenwood Springs, CO 81601
clry'sYeie;
¦ Complete Items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
1islorado Department of "rransportation
'= South 6rh Street, #317
Grand Junction. CO 81501-2769
Er (Domestic Mail Only; No Insurance Coverage Provided)
ET•
C`- delivery For ..D Postage a
M certified Fee. $ b rho
a PQs"a
O Return Receipt Fee ; ;Here
00
c3 (Endorsement Required) 3 6 -,
0 Restricted DeliveryFee
(Endorsement Required)
O ?. -F F
Ln
ru Total Postage P. Fees i J r •• S
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ent o
a^
C3 Colorado Department of Transportation ;
M Wif W. -4
or PO BoxNG 222 South 6`l' Street, #317
'1.(iy'siaaie zr Grand Junction, CO 81501-2769
A. Signature W,
)6L, /9 13 Agent
X
,CY, ? Addressee i
B.. Re>re1G@(t b ( Printed Name) C. Date of Delivery
D. Is delivery address different from Item 1? ? Yes
If YES, enter delivery address below: ? No
4. Restricted Delivery? (Extra Fee) ? Yes
3. Service Type
/rtifled mail ? Express Mail
? Registered ietum Receipt for Merchandise
? insured Mail ? C.O.D..
2. Article Number
_ (f)ansferfrom servke?aW 7009 2250 0003 7645 9799
Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540