Laserfiche WebLink
CERTIFICATION <br /> The Applicant, Van Valkenburq Cattle Co., LLC (print applicant/company name), <br /> bvWilliam Van Valkenburg (print representative's name),as Manager (print <br /> representative's title), does hereby certify that Jackson County Road&Bride (structure owner) shall <br /> be compensated for any damage from the proposed mining operation to the above listed structures) <br /> located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br /> Permit Application for Van Valkenburg Quarry (operation name), <br /> File Number NI-aold -031 <br /> This form has been approved by the Colorado ltilined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br /> the Colorado Illined Land Reclamation Act for Hard Rock,Aletal, and Designated Alining Operations. <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PER EIT APPLICANT <br /> ACKNO'V LEGED BY: <br /> Applicant VLe ,� ,L4&epresentative Name }� " <br /> Van Valkenburg Cattle Co., b1c William Van Valkenburg <br /> Date l u S� 2-C)t to Title <br /> J <br /> STATE OF(t .1 ('t? N f,) <br /> ) ss. <br /> COUNTY OF, . CK —' ) <br /> «The foreg ing as acknowledged before me this day of`-Al �r_• , �20 , �y , <br /> bV1� `has (�1n1 i0Cl�� of LLB <br /> JJ � <br /> tl/CL r My Commission Expires: <br /> otary Puhytc r � <br />