Laserfiche WebLink
CERTIFICATION <br /> The applicant, Oldcastle SW Group, Inc. , represented by Rich Umbel <br /> as, President , does herby certify that Xcel Energy (structure owner) shall be <br /> compensated for any damage from the proposed mining operation to the above listed structure(s), <br /> if any exist at the time of mining and are located on or within 200 feet of the proposed affected <br /> area described within the Reclamation Permit for Wattenburg West, File Number M-2005-066. <br /> This form has been approved by the Colorado Alined Land Reclamation Board pursuant to its authority under the <br /> Colorado Land Reclamation Act for the Extraction of Construction Haterials and the Colorado 1/fined Land <br /> Reclamation Act for Hard Rock. Metal, and Designated Alining Operations.Any alteration or modification to this <br /> form shall result in voiding this form. <br /> ACKNOWLEDGED BY: �'� (Signature of Officer) <br /> Applicant Oldcastle SW Group, Inc. Representative Name: Rich Umbel <br /> Date: C( - Title: President <br /> STATE OF <br /> - I )ss. <br /> COUNTY OF lL ) <br /> The foregoing was acknowledged before me this day of- �'- ,203 , by <br /> j <br /> c�� I. \ ��� ►�L I as ~` C��4(t Of( <br /> HEIDI R.VEACH <br /> My Commission Expires: _° .Commission Number 7011" <br /> My COMIT11551on <br /> Nota Public ow fires <br /> ry January 14, 2024 <br />