PERMFILE65360

• Permit No: M2004047
• IBM Index Class Name: Permit File
• Doc Date: 8/25/2004
• Doc Name: Exh. S
• From: WSI Weiland Inc.
• To: DMG
• Section_Exhibit Name: Exh S
• Media Type: D
• Archive: No

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~~~~ _IA[~iland. ,Inc:. /~
cnvlrvnment~! Fe Engrneenng
TRANSMITTAL SHEET
Date: si2s~zoos ~E~E~VE®
Project: File Pit~2, Permit #M-2004009 QU5 q 5 704 /
To: Barb ChlappOrle U+uisiotl ~¢ Iv1{nero s and Geology
Colorado DMG
We are sending
herewith .......................................... X
under separate cover ........................ ^
by messenger .................................... ^
1 Copy of the notarized Affidavit of Intent to Setback 200' From Any Permanent
Manmade Structure Surrounding the File Pit 112.
1 Copy of the Weld County Affidavit of Receipt for faxed copy of the notarized
Affidavit of Intent to Setback 200' From Any Permanent Manmade Structure
Surrounding the File Pit 192.
Which are: for your review and comment............ X
or your files .....................................................:.... ^
returned to you for correction and resubmitted........ ^
for your information ........:.......................................... ^
for your use ..........................:.............................. ^
other ..................................:................ ........... ^
Barb: Enclosed are the documents that you requested. Please call if you there are
additional concerns with this submittal.
Bill Klawitter. P.E.
7a395Co/faxave.. sous 35a. Lakewood rn 8a21s
ph 3a3-436-0951 fax 3a3-436-0953