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2013-02-11_REVISION - M1987103
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2013-02-11_REVISION - M1987103
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Entry Properties
Last modified
6/16/2021 2:21:04 PM
Creation date
7/24/2013 3:48:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987103
IBM Index Class Name
REVISION
Doc Date
2/11/2013
Doc Name
SO-02 APPLICATION
From
OPERATOR
To
DRMS
Type & Sequence
SO2
Email Name
THM
GRM
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this day of i 3 <br />Oper t (SEAL) <br />By: Q <br />Title: <br />• <br />a LISSA <br />NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br />FREEMAN <br />/I <br />STATE OF C_ 01,, ) 9 `OW ...•• p� <br />ss.: <br />COUNTY OF �� � per; ) MY Commissbn Expires <br />12/21/2015 <br />The foregoing instrument was acknowledged before me this q'k day of 7013 <br />byhorod' 0100)'i as L-4 `cS<df.n of_ a6L tjtSf <br />Notary Public'�2L ,-.1 Y-",— <br />My Commission Expires id � .1-2 a � <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />MINED LAND RECLAMATION BOARD <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />By: <br />Division Director <br />-13- <br />Date Executed: <br />Rev. 05/12 <br />
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