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Exhibit S- Structure Agreements <br /> CERTIFICATION <br /> The Applicant, Butala Sand & Gravel Co. (print applicant/company name), <br /> by Charles Kellerman (print representative's name), as Vice Pres. (print <br /> representative's title), does hereby certify that Stephen & Shandarin Mitchell(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 Butala Sand & Gravel Smeltertown Pit (operation name), <br /> File Number M-1977-170 <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 /> ACKNOWLEGED BY: <br /> Applicant 9", - - Representative Name 04A,9IE5 <br /> Date .5 j3v�,Zo,?� Title -%/t Ca ilk 5 <br /> STATE OFI1Q►^ ( ) <br /> ss. <br /> COUNTY OF ) <br /> he foregoing was acknowledged before my�l C day of , 20 by <br /> as U+C;e? ir�.S of .+.�. <br /> L My Commission Expires: Gene- '� , O 0 - <br /> Notary Public <br /> BURN5 <br /> U <br /> TARY PUBLIC ALISA <br /> E OF COLORADOY ID 70214021660 2t)25ION EXPIRES TUNE 4, <br />