Laserfiche WebLink
CERTIFICATION <br /> The Applicant, JPA Properties, (print applicant/company name), <br /> by John P. Ary (print representative's name), as Managing Member (print <br /> representative's title), does hereby certify that Colorado Department of Transportation(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 McCumber Pit (operation name), <br /> File Number M-2000-151 <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 J-NA -�yop r ;Qs LJ Representative Name <br /> Date (d 1S i Title <br /> STATE OF &Lov -d, ) <br /> ss. <br /> COUNTY OF fl4O ) <br /> The foregoin_g was acknowledged before me this 1S day of t , 20 .17 by <br /> Qko "vti as kjof <br /> My Commission Expires: /d/60/e• - <br /> C—Tar ublic <br /> JODI D SCHREIBER <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20064001792 <br /> MY COMMISSION EXPIRES OCTOBER 6,2026 <br />