Laserfiche WebLink
PERMITTEE/STRUCTURE OWNER AGREEMENT <br /> Mine: Native/Pierre Mine-M-1977-321 <br /> State of Colorado, Mined Land Reclamation (MLR) law requires the permit applicant(operator/permittee)to agree <br /> to reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area,for <br /> damage done to the structure(s) as a result of the permitted operation. <br /> Summit Brick and Tile Co. believes Central Christian Church own the following structure(s), located within 200 feet <br /> of the permitted mining area: 2- Fences, Building <br /> Summit Brick and Tile Co. 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. Summit Brick and Tile Company certifies this agreement as follows: <br /> CERTIFICATION: The Applicant Summit Brick and Tile Co. represented by Matthew R. Welte as CEO, does <br /> hereby certify that Central Christian Church 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 Native/Pierre Mine. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: Summit Brick and Tile Co. P.O. Box 533 Pueblo 81002 <br /> Representative: Matthew R.Welte CEO-719-542-8278 <br /> Signature: �, - I�L %� � Dater <br /> STATE OF Colorado ) <br /> )SS <br /> COUNTY OF Pueblo } <br /> The foregoing was acknowledged before me this ,�day of 2020, by <br /> Matthew R.Welte as CEO of Summit Brick&Tile CO. <br /> Notary Publ a_111 � My Commission Expires: — - - <br /> A CLEMENTI <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY FOR STRUCTURE OWNER NOTARY ID20144043949 <br /> M Y COMMISSION EXPIRES NOVEMBER 11,2022 <br /> ACKNOWLEDGED BY: <br /> Structure Owner(s): Central Christian Church Contact name(print): le t <br /> Signature: _ Date: 2 d <br /> Title: <br /> ANDREW JAMES SANDOVAL <br /> n_ NOTARY PUBLIC <br /> STATE OF �I �O ) STATE OF COLORADO <br /> ss .NOTARY ID 20204008520 <br /> COUNTY OF UG O ) My Commission Expires 02-28-2024 <br /> The foregoing was acknowI dg�d befo a me this day of 3L)m 20;)1J, by <br /> raJ �a'�7CJ0v�t! � ��Ck <br /> Notary Public: My Commission Expires: <br /> SENT To STRUCTURE OWNER VIA CERTIFIED MAIL # 70181130000165522695 <br />