Laserfiche WebLink
CERTIFICATION <br /> The Applicant, Loveland Ready Mix Concrete, Inc., by Brad Fancher, as Vice President, does <br /> hereby certify that Jack I West shall be compensated for any damage from the proposed mining <br /> operation to the above listed structure(s) located on or within 200 feet of the proposed <br /> affected area described within Exhibit A, of the Reclamation Permit Application for sand and <br /> gravel mining of the Knox Pit. <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 Materials <br /> and the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining <br /> Operations. Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Applicant: Loveland Ready Mix Concrete, Inc. <br /> Representative Name: Brad Fan �'""' <br /> Representative Signature: ia_,01.11Fr- <br /> �� .'00 <br /> -- <br /> Date: September 5, 2017 <br /> Title: Vice President <br /> STATE OF COLORADO <br /> SS: <br /> COUNTY OF LARIMER <br /> On this 5 day of September ,2017,before me personally appeared, <br /> BRAD FANCHER,known to me to be the persons whose names are subscribed to the above instrument and who <br /> acknowledged to me that they executed the same as their free act and deed. <br /> IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal the day and year in this ctific g.. <br /> first above written. `O%1.011"1/104. <br /> endy ,/ <br /> MY COMMISSION EXPIRES: October 4,2019 Witness my hand and official still. • ._:,,e -i <br /> 6-1 <br /> / Notary Public ! cn ; '416.o -4' ° <br /> G. — . ® • <br /> + • 9,e ° <br /> i 0 • . %,, <br /> `i le Z. <br /> f •.•.••• O `` <br />