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Vaffa Companies, Inc. <br /> Office of Special Projects <br /> 8120 Gage Street Frederick Colorado 80516 Telephone(303)666-6657 Fax(303)666-6743 <br /> Statement of Understanding <br /> Landowner of Adjacent Structure Statement: Our notarized signature below testifies <br /> we have been provided with and opportunity to review: <br /> 1) a Stability Analysis Report pertaining to the proposed Two Rivers Sand, Gravel and Reservoir <br /> Project-Regular Impact(112)Permit Application M-2022-013.;and, <br /> 2) a Map showing the approximate relationship of our property and the potential for any <br /> qualified significant, valuable and permanent man-made structure(s), which may occur <br /> within 200 feet of lands affected within the proposed Two Rivers Sand,Gravel and Reservoir Project- <br /> Regular Impact(112)Permit Application M-2022-013. <br /> Upon review of the available materials reference here or the attending Public Notice; <br /> And, understanding the relationship of any significant, valuable and permanent man-made structures <br /> under our ownership and which may stand within 200 feet of lands affected within the proposed Two Rivers <br /> Sand.Gravel and Reservoir Project- Regular Impact(112) Permit Application M-2022-013.; <br /> Further, by our signatures, as notarized below, we concur that planned activities detailed in the <br /> application for permit M-2022-013.; do not impact our qualified significant, valuable and permanent <br /> adjacent man-made structures; and to assure you that in the unlikely event damage occurs to such <br /> structures as a direct result of authorized active operations,those damages will be compensated for by <br /> the Operator,consister t with established law_ <br /> �-� 022 <br /> Si o ature�of Adjacent Landowner Date <br /> Print Name <br /> State of l_C)1 D r ) <br /> )ss. <br /> County of <br /> The foregoing imtrulnent was acknowledged before me this day of /1 i C.116 I .2022, r <br /> b, kc_ <br /> J. Title _J <br /> Company or Corporation <br /> RLN�OTARY <br /> ARCIA Not y Public <br /> lBLiC <br /> LSTORADO <br /> NO74001251 My Commission expires:1ES MAY 02 2025 <br />