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24125 CR 42 <br /> "tv P I MIX V <br /> TRUCMG AND EXGgvAnONDVc. LaSalle, CO 80645 <br /> 970-378-7000 <br /> CERTIFICATION <br /> The Permit Applicant and Mine Operator, Justice Trucking, Inc. by Russ Justice, as _Owner, <br /> (Title) does hereby certify that Wiggins Telephone Company(structure owner) shall be <br /> compensated for any damage from the proposal mining operation to the above listed structure(s) <br /> located on or within 200 feet of the proposed affected area described within the letter attached to <br /> this agreement, as of the Reclamation Permit for GoodMiller#2 Pit, Permit File Number M- <br /> 2014-070. <br /> This form has been approved by the Colorado Mined Land Reclamation pursuant to its authority under the <br /> Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br /> Reclamation Act for Hard Rock Metal, and designated Mining Operations, Any alteration of this form shall result <br /> in voiding this form. <br /> NOTARY FOR PERMIT APPLICATION <br /> ACKNOWLEDGED BY: <br /> Applicant Justice Trucking Inc Representative Name Russ Justice <br /> Date January: $ 2020 Title Owner <br /> STATE OF Colorado) <br /> ) Ss <br /> COUNTY OF(:� e j ) <br /> The foregoing was acknowledged before me the 3St-day of J n -r 20 <br /> by <br /> Russell Justice, as Owner of Justice Trucking, Inc. <br /> My Commission Expires: i 1 z 7_1 o�a <br /> Notary Public ----�--- <br /> DELANIE MCMOR® <br /> NOTARY PUBLIC <br /> STATE OF COLORADO 2 <br /> NOTARY ID 20164045049 <br /> MY COMM.EXPIRES NOVEMBER 29,2020 <br />