Laserfiche WebLink
SUMMIT ENGINEERING C 0 1 ENGINEERS & LAND SURVEYORS <br /> Mail: P.O. Box 1897 Alamosa, CO 81101 P: 719-589-6147 E: summitengco@gmail.com <br /> CHITIN ICATION <br /> The Applicant, Robins Construction, LLLP - (print applicant/company name), <br /> by Randall L. Robins (print representative's name),as Partner (print <br /> representative's title),does hereby certify that Jeanette Lucero (structure owner)shall <br /> be compensated for any damage from the proposed mining operation to the above listed structure(s) <br /> located on or within 200 feet of the prolvosed affected area described within Exhibit A.of die Reclanwtion <br /> Permit Application for Robins Rock Pit (operation name), <br /> File Number M-2009-053. <br /> This fornt has been approved h.v the Colorado Alined land Reclamation Board pursuant to its <br /> authority under the Colorado Land Re clantation.-I ct for the r-wraction of Construction tifaterinly and <br /> the Colorado:Alined Land Reclamation Act for Hard Rock,,Metal,and Uesi,;vtated Alining Operation•. <br /> Any alteration or rnodiJication to this form shall result in voiding thi.N,itrtn. <br /> NOTARi' FOR PERMIT APPLICANT <br /> AC'KNOWLECrED BY: <br /> nn � <br /> Applicant-0124UU Representative Name <br /> Date &I7F-)UN) Title�trto,ra\ VC3L'A mp v- <br /> STATE OF On1or�C-, ) <br /> COUNTY OFF,) <br /> The foregoing was acknowledged before me this t t`day of j .20.22 U,by <br /> - ray---- as <br /> t, u �,it_QU�tt My Commission Expires: <br /> otary Public <br /> CATHERINE L OU1NLAN <br /> Notary Public <br /> State of Colorado <br /> Notary ID a 2a1 74031 1 74 <br /> M Commission EXpitos07-25-2021 <br /> Job # 1200710MP - C Page 64of79 <br />