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PERMITTEE/STRUCTURE 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 D6rmitted onaration. <br />Granby Sand & Gravel believes Paula Sheridan & Liz McIntyre owns the following structure(s), <br />located within 200 feet of the permitted mining area: Irrigation headgate/diversion structure . <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 Paula Sheridan & Liz McIntyre shall <br />be compensated for any damage from the proposed mining operation to the above listed <br />structure(s) located within 200 feet of the permitted mining area described in the MLR <br />Permit for the 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: Todd Hammerlund. Manager. (870) 627-8834 <br />Signature: / �— n �j/� Date r-'�/ P/!, <br />STATE OF COLORADO <br />ss. , f <br />COUNTY OF GRAND ) �.1�{'_' <br />tl'7 <br />ged before me this( day of It 2015, by <br />erlun ager of Granby Sand & Gravel,, LLiL <br />C SHELLEY WINTER <br />7 My Commission Expires: U �!'f r ?' r NOTARY Pii SUC <br />Notary Public STATE OF COLORADQ2019 NOTARY 199440162 <br />' Feb. 18 <br />ACKNOWLEDGED BY: <br />Structure <br />Signature <br />Signature <br />NOTARY FOR STRUCTURE OWNER <br />STATE OF COLORADO ) <br />) ss. <br />COUNTY OF GRAND ) <br />The foregoing was a knowledged before me thi day of � � "52015, by <br />1 .. T 1 c t L moi`` L�� '� �� . <br />fl Commission Expires: <br />Pu lic <br />ANOr.A OS!!L!R <br />IIITAM W COLDRA00 <br />IWW tD 004400 11106 <br />hely CQ w am mm wams <br />Granby Sand & Gravel LLC Kattenburg Pit- M-2007-014 <br />