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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 James Sweetman Family Partnership,RLLLP shall own the following structure(s), <br /> located within 200 feet of the permitted mining area Fence,Residence,Out Buildings <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 James Sweetman Family Partnership,RLLLP shall be compensated for any damage from the <br /> proposed mining operation to the above listed structure(s)located within 200 feet of the permitted mining area described <br /> in the MLR Permit 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 /> 1114.111L1 �+ <br /> JESSICA A.RAY <br /> NOTARY PUBLIC <br /> Signature: Date: I Ole 1,90)1 STATE OF COLORADO <br /> NOTARY ID 20084035981 <br /> STATE OF , Colorado ) MY COMMISSO4 MIRES OCTOBER 15, <br /> 2320 <br /> )ss <br /> COUNTY OF Denver ) <br /> The foregoing was acknowledged before me this to day of ©anip-e ,2017,by Joseph M. <br /> O'Dea as the Manager of Mann Lake Holdings,LLC. <br /> Notary PutI . ,i .�- 1� My Commission Expires: 00/.6 <br /> door 4 <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 />