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Request for the DRMS document images on the following DRMS Permit file(s): <br />1) List attached2) <br />x <br />fee <br />ffi--1911 STATE OF COLORADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 <br />Phone. (303) 866-3567 <br />FAX (303) 832-8106 <br />DRMS cannot provide computer related support, <br />_ Customer Mailing and Contact biformation: <br />Prim Name: <br />Company: <br />Address: <br />Phone: <br />Signature: <br />3) <br />Please check if you want a copy of the Directions for Use of CD/DVD <br />Charles P. Forster <br />Forster Engineering <br />19915 Wittenburg <br />San Antonio, TX 78256 <br />10) 698-5 <br />Charles P. Forstel: <br />Document Imaging CD/DVD <br />REQUEST FORM <br />4) <br />RECEIV <br />JUL 2 1 20 <br />LORAD <br />VtS1ON Of <br />RECLAMATION <br />MINING <br />SAFETY <br />Division of Reclama on, <br />Mining & Safety <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 $5.00 per disk 11 DVD S20.00 per disk <br />d. <br />The Permit File document images can be viewed in the reception area of the DRMS office, online at WWW.mming.state.co.us, 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 />Insert CD/DVD into your disk drive <br />2. 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 now ready to view the file(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 DRSM 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 infomiation 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 DBMS, its officials, officers and employees from any liability <br />arising out of the use of the data/information provided. <br />./ <br />1 1 10 1 ' DEWS use OnlY <br />CD/DVD created and <br />fi sted by: <br />Office of Office of <br />Mined land Recla ma tion Denver • Grand Junction • Durango <br />C <br />Date: <br />Active and Inactive Mines <br />