Laserfiche WebLink
CERTIFICATION <br /> The Applicant, Western Slope Materials LLC, by Sean Mello, as General Manager, does <br /> hereby certify that 410l.4 e R0s s (structure owner) shall be <br /> compensated for any damage from the proposed mining operation to the above listed <br /> structure(s) located on or within 200 feet of the proposed affected area described within <br /> Exhibit A, of the Reclamation Permit Application for Blue Pit, File Number M-1981-207. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority <br /> under the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado <br /> Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining Operations.Any alteration or <br /> modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> t�C,STtR►-a Sl..o Pe MI► Tr /t� S c <br /> Applicant Representative Name S E µ M+; L--L- 0 <br /> Date ( I 1 I So Title G t tZ FL-A L Vl,C 4. 01-6 e 6— <br /> STATE OF t�1�rc a ) TIMOTHY OLK <br /> Notary Public <br /> COUNTY OF ) SS State of Colorado <br /> `� ) Notary ID#20164036408 <br /> My Commission Expires 102 2020 <br /> The foregoing was acknowledged before me this I day of Now-mb-r— , 2014 , by <br /> as 6A Fa ��� M..WA-1- tWof W.EST,R,� s�� Pf wca;,tti,aLs <br /> My Commission Expires: X/Lo <br /> Notary Public <br />