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Exhibit S- Structure Agreements <br /> CERTIFICATION <br /> The Applicant, Butala Sated & 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 Charles & Christine Murphy (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: I <br /> Applicant r Representative Name ell4diES/1 a"f,t�1-e1-1A-r✓ <br /> Date 313ozzV 2V Title V)CG ME-6 <br /> STATE OF I t(J G& ) <br /> ss. <br /> COUNTY O)~ ) <br /> �1 e fore oing w s acknowledged before m,�j khis day of �0a'? b <br /> r S � lI2y rYCyt as I G !' rK5 of . ra- �� <br /> My Commission Expires: <br /> Notary Public - <br /> �_ ALISA BURNS <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20214021660 <br /> MY COMMISSION EXPIRES JUNE 4,2025 <br />