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DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., RoOm 215 <br />Denver, Colorado 80203 <br />Phone: (3031866-3567 <br />FAX: (3031832-8106 <br />Request for the DRMS document images on the following D <br />1) List at tached2) 3) 4) <br />The DRMS document images can be copied to either a CD or a DVD. Please check one below and return <br />this form with your payment to DRMS. If a CD is requested and the permit is too large for a CD, you will be called, <br />X CD ® S5.00 per disk 1 <br />DRMS cannot provide computer related su port. <br />Customer Mailing and Contact Information: <br />Print Name: <br />Company. <br />Address: <br />Phone: <br />Signature; <br />Office of <br />Mined Land Reclamation <br />Zoo - o <br />Charles P. Forster <br />Forster Engineering <br />19915 Wittenburg <br />San Antonio, TX 78256 <br />(210) 698-554:4 <br />Charles P. Forster <br />Document Imaging CIWDVD <br />REQUEST FORM <br />STATE OF COLORADO <br />MS Permit file(s): <br />DVD (q) S20.00 per disk <br />X Please check if you want a copy of he Directions for Use of CD/DVD <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at www,mining.state.cous, or ' <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD. <br />Basic Instructions: <br />1. Insert CD/DVD into your disk drive <br />Click Yes-to Accept the License Agreement for Laserfiche Plus Viewer <br />4. Laserfiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are WM ready. to view thefile(s). <br />Disclaimer. <br />The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user for <br />damages of any kind arising out of the use of data or information provided by the DRMS, 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 DRSIvi is provided "as is <br />without warranty of any kind, either express or implied, including, but not limited to the implied warranties of merchantability <br />and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user's <br />sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability <br />arising out of the use of the data/information provided. <br />/ <br />RECEIV <br />Jur_ 21 20 1 MINING <br />SAFETY <br />Division of Reclama on, <br />Mining & Safety <br />I)RIYIS use anly <br />CD/DVD created and <br />sted by: <br />Date: <br />Office of <br />Denver • Grand Junction • Ou raago Active and Inactive Mines <br />L OK A D <br />Vt510N or <br />RECLAMATION <br />