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PERMITTEE/STRUCTURE OWNER AGREEMENT <br /> M&G Pit Permit#M-1985-079 <br /> State of Colorado,Mined Land Reclamation(MLR)law requires the permit applicant(operator/permittee)to agree to <br /> reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area for damage done <br /> to the structure(s)as a result of the permitted operation. <br /> Mann Lake Holdings LLC.believes Fulton Irrigating Ditch,CO shall own the following structure(s),located within 200 feet <br /> of the permitted mining area SE Corner Fence <br /> Mann Lake Holdings agrees to reimburse you for any damage done to the listed structures as a result of the mining operation. <br /> Your acknowledging signature and a notary seal in the spaces provided below shall satisfy the MLR law requirement. Mann <br /> Lake Holdings certifies this agreement as follows: <br /> CERTIFICATION: The Applicant Mann Lake Holdings LLC represented by Joseph M.O'Dea ,as the Manager <br /> does hereby certify that Fulton Irrigating Ditch,CO 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 the MLR Permit <br /> for the M&G Pit. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant:Mann Lake Holdings LLC,2027 W.Colfax Avenue,Denver CO 80204 <br /> Representative: Joseph M. O'Dea,Manager,303.562.2000 <br /> JESSiCA A.RAY <br /> Signature: Date: /O/(,Q JI 1 NOTARY PUBUC <br /> STATE OF COLORADO <br /> STATE OIP Coloradoilk <br /> ) NOTARY ID 20084035581 <br /> YY COMMON EXPRES OCT088t 15,2020 <br /> )ss <br /> COUNTY OF Denver ) <br /> The foregoing was acknowledged before me this L, day of OCAtb K. ,2017,by Joseph M. <br /> O'Dea as the Manager of Mann Lake Holdings,LLC. <br /> Notary Pub�t//; 1-1` & 1My Commission Expires: Odeber 1 c C� <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner(s): Contact name(print): <br /> Signature: Date: . <br /> STATE OF ) <br /> )ss <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this day of ,2017,by <br /> • <br /> Notary Public: My Commission Expires: <br /> SENT TO STRUCTURE OWNER VIA CERTIFIED MAIL <br />