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PERMITTEE/STRUCTURE OWNER AGREEMENT <br /> State of Colorado,Mined Land Reclamation(MLR)law requires the permit applicant(operator/permittee)to agree to <br /> reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area Known as <br /> the Camilletti Pit No.2 for damage done to the structure(s)as a result of the permitted operation. <br /> Oldcastle SW Group, Inc. dba United Companies believes Camilletti& Sons, Inc. own the following structure <br /> (s),located within 200 feet of the permitted mining area: 3 strand wire fence. <br /> Oldcastle SW Group, Inc. dba United Companies,agrees to reimburse you for any damage done to the listed <br /> structures as a result of the mining operation.Your acknowledging signature and a notary seal in the spaces provided <br /> below shall satisfy the MLR law requirement.Oldcastle SW Group, Inc.dba United Companies certifies this <br /> agreement as follows: <br /> CERTIFICATION:The Applicant,Oldcastle SW Group, Inc.dba United Companies,represented by Jason Burkey, <br /> as Environmental/Natural Resources Manager,does hereby certify that Camilletti& Sons, Inc. shall be <br /> compensated for any damage from the proposed mining operation to the above listed structure(s)located within 200 <br /> feet of the permitted mining area described in the MLR Permit for the Camilletti Pit No.2(M-2001-023). <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: Oldcastle SW Group,Inc.dba United Companies,2273 River Road,Grand Jct,CO 81505 <br /> Representative: Jason Burkey,Environmental/Natural Resources Manager,(970)376-5816 <br /> Signature: F? Off2de <br /> Date: <br /> STATE OF COLORADO ) :,, ^i t,..,,'i ' r y <br /> COUNTY OF �evf? ) v) .Ai' ..,Sit..). : z. •st r•:zuza <br /> The foregoing was acknowledged before me this /1 day • _ . ., A, % , ZOZi( by <br /> Jason Burkey as the Environmental/Natural Resources Manager of Oldcastle SW Group, Inc.dba United <br /> Companies <br /> My Commission Expires: 34n✓avy ? , ZO25--AZairsolip_ed".044— <br /> NOTARY FOR STRUCTURE OWNER TYRA LYNNE BARTUSKA <br /> NOTARY PUBLIC -: <br /> ACKNOWLEDGED BY: I 'f STATE OF COLORADO 111 <br /> r :e.4 NOTARY ID 20144046989 <br /> Structure Ow r(s): s MY COMMISSION EXPIRES JAN 26,2025 <br /> Signature: Date: <br /> Title: Y 1 <br /> STATE OF COL ADO ) <br /> ss. <br /> COUNTY ) I <br /> Th fore ing was)acknowle ged before this ,�-t day 4, .,..fdf f _ by <br /> MARY TERESA VESTAL <br /> e My Commission Expires: C- /G2 S NOTARY PUBLIC <br /> ota Public STATE OF COLORADO <br /> n' NOTARY ID#20014023021 <br /> My Commission Expires July 25,2025 <br />