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~ STATE OF COLORADQ DMSION OF MINE0AI.5 AND GEOLOGY / pyye~ynt d Nriural Renounce. ~ // C/ ,313 ShnTnan ~.. Roam 2/ S C C) L D RA D O ~• Fordo °D203 Document Imaging CD/DVD M I N ~ RA L 8 ibars (303) atiL3567 PAX ao» a3:~,0e REQUEST FORM & INSTRUCTIONS G E o is O G Y ltequet for the DMd image oo the fiollotvinp DMd gamut SIe(e): A.CLAMATIOM•MIMIM• ,ATTTT•Tae^c. 1)M-I 7~'~~5~ 2) 3) 4) euow.. (illGlker- b I fus-f- ~ ~° imsQtu cm be copied to either a CD err • DVD. Place chest om below and tetma shier The DMd d ~u.r ~•~ farm with your payment m DMd. Tta CD is tegaee0ad and the permit is too large far a t9, yon wig be called. t"Od" °hi°°' Pbaee allow up to S 6usimu days tiom the receipt of thin aimed document for yon CD or DVD to 6e avatbabla aan.a w. c+ar CD ®iS.00 per dials _ DVD ®520.00 per diet '_ OlWton Dhm lI~OaY RAawo Tne~w I / t h i tVi i ~ i t f 2u oe t e c ew m oahoeE ona. Pleue cLeck if you went a copy o Cotttpater regahromwb to ass the DMG doeamm! Imams CD (er DVD): . 1. A pro~tam celled QoickViaw wDl be copied b me CD and Haut be ioeblled as your mmpooer in ceder to nee a DMd imams CD the eras three. Fntme u+e of ibis er odter imagi~ CD's does not regoh~e a asw imn0atlon of the aoaware. Z. 'l3eCDoaDVDthatyonpmchau~beiathe~~g ADVDdr3vewIDmadaCDarDVD 3. The CD wID oomafn SLn with the .tif aLmdon. • There merle b be m fmsQe viewios epplicadan for .tif h7aa on your oampntr that will handle siaQle and doamteata. ~ On a Whdowa XP . the deflmlt vtewlag ptpgnms ere caged "9Vindoara Pktme aced Fear Viewer' err "Paint" and they do rot work wit4 QoietView. I'he Imayi„y Varae<that coma withpre-Wiadowa XP mss. doe work. DMd hu determined that a peoQesm celled "lrlaaViear', which tun he downloaded 8nm IrfmViaw.com, doer wodt wtth QuickView. Aflis dowaloadhrs "lirAnVieu+', B made b be a your defmk .tif vlewar. DMd doe not aappat err endotae thL sofltvaro aced the lianshtp tend > aro the user's teepona>biHty. Thee are mropr othta proptama that went u well, mteh n "Iaoe4iag Previenr' aad'7aoagin5 for Wiadowa". 1. fauett the CD iaoo yotr e~pnber. 2. Allow Hme 1br the CD to ioenll. 3. Eject the CD from the wmp,tDer. 4. Raiatat the t~ inW the S. You sue ready m view the Permit Files. NOT& A proYtam ailed t~nickView Antorno, which rms the tZnictView setup'pioatern, he also been copied to this CD. If the A~mtmproptam does P10T wndr, yon w,71 mad to mamutly imbll the QnickViewpro~am. lmtacticros far maoaslly imnliiap <Z,rict'Yiear ate avn7eble upoa tegtwt wig the CD err as be viewed at www.mioiasanteco.ns. The Pernik I-De doeammt hoa`u esa 6e viewed }n the rseepfhm Brea of the DMG o>Dee w they can be parchaed oa a CD err DVD. The CD/DVD pmchaae cat covert the three and Labor of matl,ta the CD. DMG cannot orovlda mmoatw related mnaart DLtdalmer. The CoLatsdo Division of Miaetala and deology (DMd) is sot meponnbk and shall not ba liable to the Deer for dam6Qa of any kind stisiap out of the ace of data a infotmstioa provided by the DMd, iocittdiap the iaenllation of the dab or io~fOrmstion, ib nse, err the tettln obtained from in Dee. Aay dsn a infotmstionprovided by the DMdn provided "u ice" without wartaoty of arty kind, either eatpteu or implied, iacludmQ, but not limited to, the implied wamotie of machsanbiHry and taeoaa tot a partiailarputpoee. Dab err " infamatioa provided by the DMd shall be need and mlied upon only u the ueale cob riot, and the user eprea ro iademnily sod hold eu the DMd, in officials, officer sad employee 8om any liab,lity arisiap out of the use of the dan/inPormation provid/ed. mar Maltln{ and Conbct Ldormatlm: 3 Q3 ~ C~G G - !~ 27' -r 1r ~ Print Name: ,loc~vtnP_ rfEr\.Iny ~`r Compmy: Addrer. fl(o~11 GJ . 9 3 r`p ~ ` , W'y'~^;>,s ~2n ~ c D ~"d0 L 1 Phoae: (,?v3~73~o-Co779 Slynature: l knro.~.~--e ~_ynl~ - -~ -- rxAr. ,r r1/an..J CD/DVD ueated and I \~. fnLva.in