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MAR-03-2011 10:05 From:BAKER&HDSTETLER LLP 3038612307 To:DRMS P.2/2 <br />STATE OF COLORADO. <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Deportment of Natural Resources <br />V3 13 Shefman St.. Ruum 215 C O L O R ADO <br />17rnv"u, Ccolcwittfo $11211:3 ? n I V 1 5 1 0 N V 1 <br />Phnne: (0)3) tl6h-AS67 Document Imaging CD/DVD L CLAMATION <br />rAX• (303) 032-0106 FARM M I 1 N 0 <br />REQUEST <br />SAFETY <br />Request for the DBMS dovuitiurtt irnaUw; t>n the following DBMS Perniit l"ile(1i). <br />?- <br />The RMS document inha •S can be copied to either a CD or it DVD. Please check one below and return <br />this form with your payment to DRMS. If n CD in requested and the permit is too large for a CD, you will he ordled. <br />7W CD @ $5.00 per disk -_ DVT) @ $20.00 per disk <br />Please check if you want a copy of the Directions for Use of*CT)/I7V17 <br />The Permit File document inutgc~i can ht: vit:wctl in the reception area of the DktMS office, online at www.l3ii»instate.cu.us, or <br />they can be purchased on a CD or DVD. The C L)/DVD purchase cost covers the time And labor ormaking the CD/DVD. <br />Basic Instructimni: RECEIvl,=.D <br />I . Insert CI]/DVL) into your disk drive <br />2. (:lick Yes to Accept the Liccnsc Agmcmcnt for i aserfiche Pluk Viewer <br />4. Lasertiche will Load, Opening the Start Page MAR 03 2011 <br />5. Click on the Available Repositoryand Click Open, You are now read. y to view the E•il4(s}. <br />Division of Raclematlon, <br />DRMS cannot provide computer related suooort. Hitting & Safety <br />Disclaimer: <br />The Colorado Division of Rcelarnation, Mining and Safety (T)RMS) is not responsible and shall not be liable to the user for <br />damages of any kind arisingg, out of the use of data or information provided by the OR2MS, including the installation of the data or <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is lrrovidod "f1s its" <br />without warranty of any kind, either explcm or implied, including, but not limited lo, the 4ripliod wirrantius of merehantobility <br />anti fitness for a particular purpose. Data or information provided by the DBMS shall be used and relied upon only at the user's <br />sole risk, and the user agrees to indemnify and held harmless the DR.MS, its officials, orlicers and employees frorrr any liability <br />arising; out of the use of the data/ioforrnatioll provided, <br />Custoiiter Mailing, and Contact Iuforrriation: <br />r,, >t)izMS use only <br />Print Name:+"? - <br />Ct?!'l?V'>n created and <br />Company: e?ea i 41Lj 7-1:5 r4d L•=/? ?.?-` t sted 6y: <br />14 <br />Address:" 4t1&, 7t!„ f O?f( <br />&4-1 {r?r"5?„t Q Z.0 ? /mate. <br />h&4-1 ' <br />Phone: _ ............. D r I f _-~-mil <br />Signature, '--'r <br />1 <br />Office of _ fjff rr +:?f <br />Mlnod Lund Reclamation Denver • Grand )unetinn Durango Arrive and IrlaCtive Minas