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PERMFILE69886
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PERMFILE69886
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Entry Properties
Last modified
8/24/2016 11:19:00 PM
Creation date
11/20/2007 11:06:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004025
IBM Index Class Name
Permit File
Doc Date
6/25/2004
Doc Name
Damage Waiver Agreement
From
Lewicki & Associates
To
DMG
Media Type
D
Archive
No
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FROM GREG-LEWICKI FRX N0. 3033465196 Jun. 25 2004 01:32PM P2 <br />I <br />~ The State of Colorado, Division of Minerals and Geology requires the operator of any sand and gravel <br />operation provide agreements between the operator and the owner of any significant, valuable man-made <br />structure located on or within 200 feet of the permit boundary of the operation known as the NORTH FORK <br />PIT in Delta County, Colorado. <br />¢e: <br />I K•l~~r <br />Owner of structure: Randy Timothy Carl-1, 914~$ltipra St., Golden, CO 80401 <br />I Description: Barbed wire fence immediately south of permit area. <br />-CERTIFICATION- <br />The undersigned, Craig Lamberty, President of Old Castle S W Group, Inc., d.b.a. United Companies of Mesa <br />County,ldoes hereby certify that h o'f ar i~ will be compensated for any <br />costs incurred resulting from damage tot a above stty s located within, or 200 feet, of the affected land <br />described within Exhibit A, of the Construction Materiaia Application, as a result of ow mining activities. <br />OLD CASTLE SW GROUP, INC. <br />d.b.a. C MPANIES <br />I <br />C G LAMBERTY, PRESIDENT <br />r <br />JUN ~ 5 ~ `~ <br />t'tas~,~ boat 1 a <br />DAe.a~m o1 - 6 <br />STATE OF COLORADO ) <br />)ss <br />COUNTY OF MESA ) ~q_ <br />The for going was acknowledged before me this ~7 day of _/~I~c~ .2004 by Craig Lamberty, as <br />President of Old Castle SW Group, d.b.a. United Companies. ~~ <br />~ ~ <br />My commission expires: a ~ dfj7 <br />;. , <br />Notary Public <br />ACCEPTED BY: -- <br />BY: Title: ~ ~ ~~ /'~ Date: ~ ~ A <br />Print Name: X A at e~ v 't"r,~,.-f/, li /'IAFJ~~ ~/ <br />Permit #: i" l - 2ODX-vzS ~ Confidental?: /1~ <br />Class: Pcrh~ . f• a ! ~ c Type-Seq.: <br />North Fork Pit March 04 55 From: Lv,..r, c/c, d- sor ~ To: <br />SSS Doc. Name: Da..-~~ar wac/cr aer~crw,~.•~ <br />Doc. Date (if no date tamp): <br />C>6 ~ - - - - - --- -- <br />
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