2022-03-21_PERMIT FILE - M2022012

• Permit No: M2022012
• IBM Index Class Name: Permit File
• Doc Date: 3/21/2022
• Doc Name: Application
• From: Burton Farms LLLP
• To: DRMS
• Email Name: CCW
• Email Name: THM
• Email Name: AWA
• Media Type: D
• Archive: No

ADDENDUM 4
Burton Farms LLLP
By: 5-jam Z
Susan Barker, o-Manager
Februan, , 2022
STATE OF
) ss.
COUNTY OF
The foregoing instrument was signed, sworn to (or affirmed), and acknowledged before me this
day of February, 2022. by Susan Barker as Co-Manager of Burton Farms LLLP, the
Applicant.
Witness my hand and official seal:
M16OSIRIS ARREDONDO
Notary 1{aw +state of Kansas �t
MyAppt.Expires QZ,1 )Zj Notary Public
My commission expires:
Burton Farms LLLP Page 2 of 2
Construction Materials Limited impact(.110(c))Operation Reclamation Permit Application Form