Laserfiche WebLink
CERTIFICATION <br /> The Applicant,Aggregate Industries - WCR, Inc. (print applicant/company name), <br /> by W. Chance Allen (print representative's name), as Regional General Manager (print <br /> representative's title),does hereby certify that XCEL Energy WYCO Inc. (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 proposed affected area described within Exhibit A,of the Reclamation <br /> Permit Application for Wattenberg Disturbance Reclamation (operation name), <br /> File Number M- - <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br /> the Colorado Mined Land Reclamation Act for Hard Rock,Metal,and Designated Mining Operations. <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGFP BY: <br /> Applicant _' 1'. _ ✓ Representative Name <br /> Date --- Title ( _ r% r i ; .( ► 4 c r L, , ,1 < <br /> STATE OF < <<<! ) <br /> )ss. <br /> COUNTY OF \r 1 v_ ) <br /> The foregoing was acknowledged before me this 1 •. day of f , ,20 2),by <br /> as (fir l 'vlCt.1 r^ert t�t4 1t �iY Of C�� ;•� irf �I'� `Jtil L Cl, rIC' <br /> 1 <br /> i <br /> _ �'• �,4 �' __ My Commission Expires: <br /> Notary Public <br /> SARAH GREGA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20174007757 <br /> MY COMMISSION EXPIRES FEORUARY 21,2025 <br />