Laserfiche WebLink
CERTIFICATION <br /> The Applicant, Carol Ann Pit, LLC, by Robert W. Newby& Carol Ann Newby,does hereby <br /> certify that Black Hills Energy (structure owner) shall be compensated for any damage <br /> from the proposed mining operation to the above listed structure(s) located on or within 200 <br /> feet of the proposed affected area described within Exhibit A, of the Reclamation Permit <br /> Application for Carol Ann Pit, File Number M-1997-026. <br /> This form has been approved by the Colorado alined Land Reclamation Board pursuant to its authority under <br /> the Colorado Land Reclamation Act for•the Extraction of Construction Materials and the Colorado Alined Land <br /> Reclamation Act for Hard Rock, Metal, and Designated Afining Operations. Any alteration or modification to <br /> this fibrin shall result in voiding this foi-i n. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Carol Ann Pit, LLC Representative Name <br /> Date t-t 0- a=v k Title Mo <br /> STATE OF�L� ) <br /> ss. <br /> COUNTY OF Cl. ) <br /> -N, <br /> The foregoing was acknowledged before me this M day of , 20 1�, by <br /> I OPOPW--w N&.�7 9 U <br /> as M10,M YZ�- of P, <br /> --& __My Commission Expires: ate/ / 9 <br /> Notary Public <br /> M <br /> SCHLEGELUBLICLORADO3;0068t3 Februa <br /> February 27,2019 <br />