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PERMITTEEISTRUCTURE OWNER AGREEMENT <br /> State of Colorado, Mined Land Reclamation (MLR) law requires the permit applicant(operatorlpermittee)to agree <br /> to reimburse the owner of any permanent man-made structure(s)within 200 feet of the AFS-Bennett Pit(M-2001- <br /> 038) permitted mining area, for damage done to the structure(s) as a result of the permitted operation. <br /> Albert Frei and Sons, Inc. believes Henderson Aggregates, LLC. own the following structure(s), located within 200 <br /> feet of the permitted mining area: 3-strand wire fences, Garage and Water Well-300 ft deep <br /> Albert Frei and Sons, Inc., agrees to reimburse you for any damage done to the listed structures as a result of the <br /> mining operation. Your acknowledging signature and a notary seal in the spaces provided below shall satisfy the <br /> MLR law requirement. Albert Frei and Sons, Inc. certifies this agreement as follows: <br /> CERTIFICATION: The applicant Albert Frei and Sons, Inc. represented by Albert Frei, Jr. , as the President, does <br /> hereby certify that Henderson Aggregates, LLC. 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 <br /> Permit for the AFS- Bennett Pit. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: Albert Frei and Sons Inc. P.O. Box 700 Henderson CO 80640 <br /> Representative: Albert Frei Jr, phone 303-289-1837 <br /> Signature: �G� Date: MARNo ARYPUBLICVILj202O <br /> STATE OF COLORADO <br /> STATE OF Colorado NOTARY ID 20124004816 <br /> MY COMMISSION EXPIRES FEBRUARY <br /> )ss <br /> COUNTY OF Adams ) <br /> r <br /> The foregoing was acknowledged before me this _day of by Albert <br /> Frei, Jr. as the President of Albert Frei and Sons, Inc. <br /> Notary P blic: ' My Commission Expires: `� Z U <br /> NOTARY FOR STRUCTURE OWNER(s) <br /> ACKNOWLEDGED BY; n r i G hF fG <br /> Structure Owner(s): Henderson Aggregates, LLC. Contact name(print): 1 <br /> i Title : f"' <br /> Signature; � � Date: '1--1 1 4190 )-jV'P lu <br /> STATE OF G b I cA_ o ) <br /> )SS <br /> COUNTY OF A ) <br /> The foregoing was acknowledged before me this day of c- C LL ` by <br /> Notary Public: My Commission Expires: 2 Z — S ' Z a Z c� <br /> MARNO ARYPUBL CVI� <br /> SEN 2 <br /> T TO STRUCTURE OVINER VIA CERTIFIED MAIL A STATE OF 0124OL 4916 <br /> NOTARY ID 0124006 <br /> MY COMMISSION EXPIRES FEBRUARY 16.2020 <br />