Laserfiche WebLink
The Applicant, E-470 Public Highway Authodty (print applicant/company name), <br />by Nell Thomson (print representative's name), as 01"0" Enpinaerinp and Roadway Malnlenanoa (pint <br />representative's title), does hereby certify that United Water and Sanitation District (structure owner) shall <br />be compensated for any damage from the proposed mining operation to the above listed structure(s) <br />located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br />Permit Application for Sandy Acres Pit (operation name), <br />File Number M -19W-. 110 <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br />authority under the Colorado Land Reclamation Act for the Fa*wcdon of Construction Materials and <br />the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. <br />Any alteration or mod(ftcadon to this form shall resu& in volding this form <br />ACKNOWLEGED BY: <br />r/ <br />Applicant 9 WO PU&* !'h4'hw^ AM Representative Name C —IL �• l {�GYY�a✓ <br />Date _ r 3.JeUAe.Y 760 2V I to Title _ _ &AOelrmt of &N4. S Rcwbr /4tg �nT� <br />STATE OF Lj o lnraclo ) <br />ss. <br />COUNTY OF jalwa���1) <br />The foregoing was acknowledged before me this day of 1=eiaruar4, , 20,1 by <br />Nlci L a. -f IrW"%0rN as b (reelo,r of �t� ; Rdu,W �Ilalprrl <br />My Commission Expiresz. 60-p:�n6r a5, aotS <br />F <br />Notary Publ. <br />..ri - <br />DIANE LUNDQUIST <br />Notary Public <br />State of Colorado <br />