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Weld County <br />RE: Agreement for Compensation for Damage to Structures within 200 feet of mining activities <br />-2- <br />With this letter, Loloff Construction, Inc. requests your authorization to conduct <br />mining and reclamation activities within 200 feet of the structures located on your <br />property. In return for this authorization, Loloff Construction, Inc. agrees to provide <br />fair compensation for any damage to your structure(s) resulting from its mining and <br />reclamation activities. Your notarized signature below grants permission for Loloff <br />Construction, Inc.to conduct mining and reclamation activities within 200 feet of your <br />structure(s), and acknowledges Loloff Construction, Inc.'s commitment to provide <br />compensation for any damages to said structure(s) caused by Loloff Construction, <br />Inc.'s mining and reclamation activities. <br />If you provide authorization to conduct mining and reclamation activities with 200 feet <br />of your utility DRMS also requires a notarized letter, on utility letterhead, from the <br />owner(s) of the utility. Per Rule 6.4.19 of the DRMS 112 Construction Materials rules <br />and regulations the letter should state that the mining and reclamation activities as <br />proposed will have "no negative effect" on your utility /street at Balsam Avenue. <br />Sincerely, <br />uon Lolott, wanager <br />Loloff Construction, I <br />Weld C6unty <br />William F. Garcia, Chair <br />Board of Weld County Commissioners <br />Date <br />OCT 0 9 2013 <br />The foregoing instrument was acknowledged before me this day of 0/ e?&/ by, <br />�% �Lr _ •mil , as 0-hai r a2n� f�7�'�G�G.D/1llY�4�DlJIh2�: S ✓`D1Je1� <br />A� <br />/ Public <br />Loloff Construction, Inc. <br />DONNA J. <br />NBECHLER.oa <br />�91F OF COQ -�R, <br />My Commission Expires: <br />P.O. Box 518 Kersey, Colorado 80644 <br />