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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 permitted operation. <br />Colorado Crushing, Inc. believes Huerfano County owns the following structure(s), located within 200 feet <br />of the permitted mining area: county road 615 <br />Colorado Crushing, Inc. agrees to reimburse you for any damage done to the listed structures as a result <br />of the mining operation. Your acknowledging signature and a notary seal in the spaces provided below <br />shall satisfy the MLR law requirement. Colorado Crushing, Inc. certifies this agreement as follows.- <br />CERTIFICATION: <br />ollows: <br />CERTIFICATION: The Applicant Colorado Crushing, Inc. represented by Rocky Ryan, as President, does <br />hereby certify that Huerfano County shall be compensated for any damage from the proposed mining <br />operation to the above listed structure(s) located within 200 feet of the permitted mining area described in <br />the MLR Permit for the Perrino Pit. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEDGED BY: <br />Permit Applicant: <br />Representative: <br />Signature: <br />NOTARY PUBLIC <br />STATE OF COLORADO ) STATE OF COLORADO <br />) ss NOTARY ID 20094013817 <br />COUNTY OF PUEBLO ) MY COMMISSION EXPIRES AUGUST 10, 2017 <br />The foregoing was acknowledged before me this day of Z� 2017, <br />by Rocky Ryan as President of Colorado Crushing, Inc. <br />Y p X12 <br />Notary Public: .,,,,,_,�►-^' M Commission Expires: <br />NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEDGED BY: <br />Structure Owner(s): Huerfano County By(print): <br />Signature: <br />Title: <br />STATE OF COLORADO ) <br />) ss <br />COUNTY OF HUERFANO ) <br />Date: <br />The foregoing was acknowledged before me this day of , 2017, by <br />as <br />of Huerfano County . <br />Notary Public: My Commission Expires: <br />