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STATE <br />1 ' 1• <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources JUL 0 5 2013 <br />1 313 Sherman St., Room 215 �� <br />Denver, Colorado 80203 C O l O P A D O <br />Phone: (303) 866 -3567 Document Imaging CD /lAKINI OF RECLA�hATI ®N n i v I s I o n o f <br />FAV (303) 832 - 8106 ' INING AND A i RECLAMATION <br />REQUEST FORM MINING <br />SAFETY <br />Request for the DRMS document jdnages on the following DRMS Permit file(s): <br />1) M -11987 -143 , IVI 1 1982 -020 P- 2012 -010 �) <br />T eti3l �vlS tXIilerifiIna�e fc i�rl copied to eit ier a r a �V Tease c c ne below aI1d return <br />this form with your payment to DBMS. If a CD is requested and the pernut is too large for a CD, you will be called. <br />CD t) 55.00 per disk X e ���� -t ❑ DVD @ $20.00 per disk <br />Please check if you want a copy of the Directions far Use of CD /DVD <br />The Permit Pile document images can be viewed in the reception area of the DR�INIS office, online at www.inining-state.co.us, or <br />they can be purchased on a CD or DVD. The CD/DVD purchase cost covers the time and labor of making the CD /DVD. <br />Basic Instructions: <br />1. Insert CDIDVD into your disk drive <br />/2. Click Yes to Accept the L`.cerse Agreement for Laserfehe Plus Viewer <br />4. Lasertiche will Load, Opening the Start Page <br />5. Click on the Available Repository and Click Open, You are now ready to view the file(s). <br />DRMS cannot Arovide computer related support. <br />Disclaimer: <br />The Colorado Division of Reclamation, Mining and Safety (DBMS) is not responsible and shall not be liable to the user fo; <br />damages of any kind arising out of the use of data or information provided by the DRIvIS, including the installation of the data of <br />information, its use, or the results obtained from its use. Any data or information provided by the DRSM is provided "as is' <br />without warranty of any kind, either express or implied, including, but not linuted to, the implied warranties of nlerchantabilit} <br />and fitness for a particular purpose. Data or information provided by the DBMS shall be used and relied upon only at the user'{ <br />sole nsk, and the user agrees to indemnify and hold harmless the DRMS, its officials, officers and employees from any liabiht} <br />arising out of the use of the data. /infon-nation provided. <br />Customer Mailing and Contact Information: <br />Print Name: Jacob Wilkinson <br />Company: Dunraven Mining LLC <br />Address: 510 South Wisconsin Ave <br />Gunnison, Co 81230 <br />Phone: 970 -417- 31 <br />Signature: <br />DRMS use only <br />CD/DVD ere d and <br />tested isy; <br />Date: 7— <br />Office of Office of <br />coned Lard Rerlamat or, Denver • Grand lunct.on • Durango Active and Inactive it:nes <br />