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AFFIDAVIT OF MAILING <br />In the Matter of the Limited Impact (110) Operation <br />Reclamation Permit Application <br />State of Wyoming ) <br />County of Laramie ) ss. <br />L <br />JUN U i Lu ij <br />DAWN,-. <br />SAND SAFETY <br />RECEN *D <br />JUN 0 7 2013 <br />DIVISION OF RECLAMATIGI�i <br />MINING AND SAFETY <br />Debbie Morgan, of Pine Bluffs Gravel & Excavating, Inc., being duly sworn, deposes and <br />says: That he is over the age of eighteen years; That on (,. , 2013, by regular <br />first class and /or certified mail properly enclosed in a sealed envelope with the prepaid postage <br />thereon, he deposited in the United States mail, at 115 W. 4th Street, Pine Bluffs, WY, 82042, <br />notices, a true and correct copy of the Revised Application of the Construction Materials <br />Limited Impact (110) Operation Reclamation Permit Application Form, address to the <br />following: <br />Weld County Clerk /Recorder <br />1402 N 17th Avenue <br />Greeley, CO 80631 <br />The receipts for certification of said letters are hereunto annexed and made a part <br />hereof. I certify that the foregoing is true and correct. <br />Dated this (' day of <br />Debbie Morgan <br />Affiant <br />2013. <br />RECEIVED <br />JUN 07 2013 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />