Laserfiche WebLink
The Applicant, Martin Marietta Materials does hereby certify that Bayswater Exploration and Production, LLC shall <br />be compensated for any damage from the proposed mining operation to the above listed structure(s) located on or <br />within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation Permit Application for <br />Three Bells Mine, File Number M -1979 -191. <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under <br />the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br />Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. Any alteration or modification to <br />this form shall result in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: MaA h Mo -lc4a, Ma+e rta,fs, Tyr, . <br />Applicant - Representative Name DmyJ YM&a - -_ <br />Date / _ Title 13- J <br />l.0 - -C <br />STATE OF Or' ) J - - <br />ss. <br />COUNTY OF( Wnm ) <br />The foregoing was acknowledged before. me this � day of 20 �7 by , <br />wg d 46A - as �`Q�LL� . __ of 11�� -'Y M i "''�. <br />blic <br />My Commission Expires: D`� =NQj �y <br />of u i - AAj'' t <br />NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEGED BY: <br />Structure Owner3"www4w-E*oa&--%4'Namei�j� <br />Date _Ql (1 �1 _ Title O �5.- <br />STATE OFt-lokbQWL0 ) <br />) ss. <br />COUNTY OF_t�P KNM � <br />"'he foregoing was acknowledged before me this day, of 20 �� by <br />'� as �w�S of '� �.�►j <br />�ry , UMy Commis•- i Expires: 0/ 7 <br />-- - <br />No a Public <br />SPRY Plj.. 4r S <br />COREL.tA R <br />GREEN <br />::OO <br />OIl9n� <br />