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From: 07/19/2012 08:42 #113 P.001 /001 <br />Jul 19 2012 7:15AM HP LASERJET FAX <br />State of Colorado <br />County of Weld <br />BEFO , a representative of the Longmont Conservation District, on this /9 <br />day of , 20 J? , I did receive a copy of `Notice of Filing Application <br />for Col do ed Land Reclamation Permit for Regular (112) Construction Materials <br />Extraction Operation Turnpike Mining Resource ". <br />Signature n / <br />iV n G I *4-i? <br />Name (p ' ited) <br />"Qicotr' Con seeva t oil (/i <br />k j ef <br />Title (printed) <br />AFFIDAVIT OF RECEIPT <br />303 - 652 -8788 p.2 <br />