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�mc <br /> .' Continental Materials Corporation <br /> Transit Mix Concrete Co. 440 S. LaSalle St. Suite 3100 <br /> Chicago IL 60605 <br /> 3. Buried Electrical Cable—Provide electricity to the Flow Control Station. RECEIVED <br /> 4. Gravel Access Road and Driveways—Access to Flow Control Station. <br /> 5. Barbed wire fence—Fence surrounding Flow Control Station. APR 18 LC+i'l' <br /> CERTIFICATION uiVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> The Operator, Continental Material Corporation(CMC)/Transit Mix Concrete Co.,by Jerald <br /> Schnabel, as President of Transit Mix Concrete Co., acting on behalf of CMC, does herby certify <br /> that Security Water District and Security Sanitation District (structure owners) shall be <br /> compensated for any damage from the Daniel's Sand Pit #2 mining operation to the above listed <br /> structures(s) which are to be located on or within 200 feet of the Daniel's Sand Pit #2 affected <br /> area, File Number M1973-007 SG. Exhibit C (attached) from the easement agreement shows <br /> the location of the easement and the pipeline which is proposed to be installed along the <br /> centerline of the easement. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction <br /> Materials and the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and <br /> Designated Mining Operations. Any alteration or modification to this form shall result in <br /> voiding this form. (Note: Above underlined narrative has been modified from the original text to <br /> correctly represent the site circumstance since this is not a new, pending application but a <br /> permitted and active mine.) <br /> I request that you return one notarized structure agreement using the included envelope and <br /> retain one structure agreement for your records. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNO GED BY <br /> Applicant " , Representative Name_Jerald Schnabel <br /> Date__( arch 31 2017 Title President of Transit Mix Concrete Co. <br /> STATE OF—Colorado ) <br /> COUNTY OF El Paso ) <br /> The foregoing was acknowledged before me this_31 st day of March_. 2017_5 by <br /> _Jerald Schnabel, as_President of_Transit Mix Concrete Co. <br /> ,`I, My Commission Expires: b <br /> Notary Public <br /> ------------ <br /> CAROLS A. RIESE <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20094031 187 <br /> fAy Commission Fyn-- 110 1G-2017 <br />