2010-06-18_GENERAL DOCUMENTS - M1986061

• Permit No: M1986061
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 6/18/2010
• Doc Name: CD Request
• From: Kenneth Young
• To: DRMS
• Media Type: D
• Archive: No

06/18/2010 FRI 11:51 FAX [phone] C&J GRAVEL
61 mzy ?-- -1 3 ""C.- -?&
0001/001
STATE OF COLORADO
DIVISION OF RECLAMATION, MINING AND SAFETY
Department of Natural Resources k??tUA--'
1313 Sherman St., Room 215 jo Denver, Colorado 80203 Phone: [phone] Document Imaging CD/DVD
FAX: [phone] REQUEST FORM
Request for the DRMS dbcument images on thollowing ztflle(s):
DRMS Pe 1 } M - t ! u? 2) 01 3) yA •-Z.eZ N- d t{ it 4)

COLORADO
D I V I S I ON O F
RECLAMATION
MINING
SAFETY
The DRMS document images can be copied to either a CD or a DVD. Please check one below and return
this form with your payment to DBMS. If a CD is requested and the permit is too large for a CD, you will be called.
CD @ $5.00 per disk DVD L $20.00 per disk
Please check if you want a copy of the Directions for Use of CD/DVD
The Permit File document images can be viewed in the reception area of the DBMS office, online at www.minina.statec,us, or
they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD/DVD.
Basic Instructions:
1. Insert CD/DVD into your disk drive RFCF,WID
2. Click Yes to Accept the License Agreement for Laserfiche Plus Viewer
4. Laserfiche will Load, Opening the Start Page V/,
???? 1 2??0
5. Click on the Available Repository and Click Open, You are now ready to view the file(s).
DRMS cannot provide computer related support.
/Divlslul1 %- -\t?clau'nation,
/ Mining and Safety
Disclaimer:
The Colorado Division of Reclamation, Mining and Safety (DRMS) is not responsible and shall not be liable to the user for
damages of any kind arising out of the use of data or information provided by the DRMS, including the installation of the data or
information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is"
without warranty of any kind, either express or implied, including, but not limited to, the implied warranties of merchantability
and fitness for a particular purpose. Data or information provided by the DRMS shall be used and relied upon only at the user's
sole risk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liability
arising out of the use of the data/information provided.
Customer Mailing and Contact Information: r/
Print Name: N? y?U-t-j
Company: J?
Address:
Phone: Cr7U
Signature:
DBMS use only
CD/DVD created and
tested by:
Date: 6-I$ -1D
Office of Office of
Mined Land Reclamation Denver • Grand junction • Durango Active and Inactive Mines