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PERMITTEE&TR Jl CTURE OWNER AGREEMENT <br />State of Colorado, Mined Land Reclamation (MLR) law requires the permit applicant (operator/permittee) <br />to agree to reimburse the owner of any permanent man-made structure(s) within 200 feet of the permitted <br />mining area for damage done to the structure(s) as a result of the permitted Operation <br />Granby Sand & Gravel believes John Kovacs owns the following structure(s), located within 200 feet of <br />the permitted mining area: 3 strand wire fence . <br />Granby Sand & Gravel LLC. agrees to reimburse you for any damage done to the listed structures as a <br />result of the mining operation. Your acknowledging signature and a notary seal in the spaces provided <br />below shall satisfy the MLR law requirement. Granby Sand & Gravel certifies this agreement as follows: <br />CERTIFICATION: The Applicant, Granby Sand & Gravel LLC, represented by Todd <br />Hammerlund, as Manager, does hereby certify that John Kovacs shall be compensated <br />for any damage from the proposed mining operation to the above listed structure(s) <br />located within 200 feet of the permitted mining area described in the MLR Permit for the <br />Kattenburg Mine (M-2004-017). <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEDGED BY: <br />Permit Applicant: Granby Sand & Gravel LLC P.O. Box 1837 Granby. Co 80447 <br />Representative: Tom Hammerlund Manager. (970) 627-8834 <br />Signature: ���--��� Date <br />STATE OF COLORADO ) <br />ss. / <br />COUNTY OF GRAND ) i�j{'„• %. 1 <br />The foregoing was acknowledged before me this/ II day of (/ l.( } 2015, by <br />Todd Hamn, and s the Manager of Granby Sand & Gravel, LLU. SHEf1EY YY1tuR <br />. <br />NOTARY PtJBL1rC <br />1 Co�oRAoo <br />7 (7�- NOTARY ID 19944d1B272 <br />My Commission Expires: L Fes• 18, y019 <br />otary Public <br />NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEDGED BY: <br />w <br />i <br />Structure Owner(s): Ko <br />Signature: + '� <br />STATE OF 9LORADO ) <br />) ss. <br />COUNTY OF GRAND ) <br />Date: da (4 ` )� <br />The foregoing was acknowledged before me this s� day of 2015, by <br />f° <br />My Commission Expires: <br />Notary Public rn <br />CARti9 t 1..3! R <br />C3+ + P+�bIIC <br />t! :0 19984020208 <br />,,un Expires Jul 22, 2018 <br />Granby Sand & Gravel LLC Kattenburg Pit- M-2007-014 <br />