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TINS Jbrm has been approved by the Colorado M1ned Land Reckmaden Hoard ptrrsrrant to Its <br /> aatborky antler the Colorado Land Reclamation Act fkW the ENVoCtlon o/Cmanatlen M atWhris <br /> and the Ca br+edo"nod Land Reclamation Act for Hand Racy AfflK and DesJgnoted MWNng <br /> operadona. Any alternation or modUkaton of thk form sW mm*M 06 <br /> Applicant: Hall-Irwin Aggregates,LLC By: <br /> 2017 Bret Hall,Manager <br /> . <br /> NOTARY FOR PERMIT APPLICANT <br /> STATE OF COLORADO <br /> ) <br /> COUNTY OF WELD ) <br /> The foregoing was acknowledged before me this L day 2017, by Bret Hail as <br /> Manager of Hall-Irwin Aggregates,LLC,the Applicant <br /> P Notary Public <br /> -2020 <br /> Wj1dATUBE 2 STRUCt-_' <br /> Structure Owner.Weld County Signature: \ <br /> Date: July 10, 2017 Title: Julie A. C d,WChair, <br /> Board of Weld County Commissioners <br /> NOTARY FOR STRUCT M OWNER <br /> STATE OF COLORADO ) <br /> } <br /> COUNTY OF WELD ) <br /> The foregoing was acknowledged before me this i n*xtay of J,jt ,2017,by <br /> Julie i e A. CoZad as_ Chair of <br /> 4Nota4 <br /> No AN <br /> =NaE <br /> Y PUBILIC <br /> COlO1 <br /> 201440.48044 <br /> XPIRES DEC. 19, 2018 <br /> My Commission expires: Cheryl L. offman <br />