2012-06-07_REVISION - M2010007 ‎(7)‎

• Permit No: M2010007
• IBM Index Class Name: REVISION
• Doc Date: 6/7/2012
• Doc Name: RESPONSE
• From: OPERATOR
• To: DRMS
• Type & Sequence: AM1
• Email Name: DMC
• Media Type: D
• Archive: No

File Number
MOFFAT COUNTY CLERK AND RECORDER
221 W. Victory Way
Craig, CO 8162
(970) 824 -9104
MINING /RECLAMATION FORM
73�
Drawer Number
Return Date 9�' daT ql - 6- , ;)
Date 6,-6- ( -- a--
Received From &1 Q Y"
Mailing Address • U.5 t1
CtrCA4 C' C � - �
Mining and Reclamation Application for:
Name of Pit or mine: tk) 4, IAA
Date on which inspection pe ( ip over and application may be retrieved by
Applicant: • 1 �-
Agent Signature: Y
For: /ti-
4 13.re,c-ie-s
Attest: County Clerk or Deputy: 3,/l4(,I/LC