Laserfiche WebLink
CERTIFICATION <br /> The applicant, Oldcastle SW Group, Inc. , represented by Rich Umbel <br /> as, President , does herby certify that International Farms LLC (structure owner)shall <br /> be compensated for any damage from the proposed mining operation to the above listed <br /> structure(s), if any exist at the time of mining and are located on or within 200 feet of the <br /> proposed affected area described within the Reclamation Permit for Wattenburg West, File <br /> Number M-2005-066. <br /> This forun has been approved by the Colorado Alined Land Reclamation Board pursuant to its authority zmder the <br /> Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br /> Reclamation Act for Hard Rock, Metal, and Designated Mining 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 Umbei <br /> Date: C( -- 11 - 1�( -_) Title: President _ <br /> STATE OF __A ) <br /> I I )ss. <br /> COUNTY OF ' 1_cA Ic ) <br /> The foregoing was acknowledged before me this 1 day of 20) , by <br /> � � (( Cas of <br /> r <br /> r <br /> �( .•".ks� HEIDI R. VEACH <br /> My Commission Expires: 1199' <br /> Notary Public ow My Commission Expires <br /> January 14. 2024 <br />