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Application for Reclamation Permit - Schmidt Site - M -201 1 -014 Exhibits P. 33 <br />6.3.9 EXHIBIT I - Proof of Filing with County Clerk <br />Archuleta County Cleric and Recorder <br />A copy of the °CONSTRUCTION MATERIALS REGULAR (112) OPERATION <br />RECLAMATION PERMIT APPLICATION FORM, and All Exhibits thereto. far the <br />"Schmidt Site to be located in Archuleta County, Colorado, has been DM hand - <br />delivered by NAME: Date Schmidt on the day of September 2011. to <br />June Madrid OR (insert name) of the Archuleta County Clerk's <br />Office, Archuleta County Courthouse, ADDRESS. Pagosa Springs. Colorado 61147. <br />This copy shall not be recorded but shall be avaiable for public review duiin8 normal <br />business hours to all interested persons, until requested to be returned by the applicant, <br />Dale & Ellen Schmidt (472 Meadows Drive. Pagosa Springs, CO 81147, 970 - 948 - 6282), <br />expected to be 60 days after a decision by the Cotorado Division of Reclamation. <br />Mining. and Safety. <br />Acknowledge receipt by competing the following: <br />SIGNATURE: <br />TITLE: <br />DATE -TIME STAMP (COUNTY CLERK) <br />ATTACHED: COPY CF TifEAPPLUCAT??ON WITH FORM AND EXHIBITS, EOUWD. <br />DALE AND ELLEN SCHMIDT, 472 Meadows Drive, Pagosa Springs, CO 81147, (970) 946 -6262 <br />©2011 WASTELINE, INC. 30 September 2011 <br />P 41 <br />