2011-07-08_REVISION - M2004013 ‎(13)‎

• Permit No: M2004013
• IBM Index Class Name: Revision
• Doc Date: 7/8/2011
• Doc Name: Amendment Submittal
• From: Paul Banks and Associates, LLC
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

Dated this 1 day o
AFFIDAVIT OF RECEIPT
This document holds that the Pueblo County Clerk & Recorder's office has received a
copy of the "Colorado Mined Land Reclamation Board Application for Construction
Materials Regular (112) Operation Reclamation Permit, St. Barbara Sand and Gravel
Mine, Pueblo County, Colorado ".
(County Seal)
, 2011.
PueoL4 County Clerk & Recorder