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PERMFILE103529
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PERMFILE103529
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Entry Properties
Last modified
8/24/2016 9:57:03 PM
Creation date
11/24/2007 10:10:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005066
IBM Index Class Name
Permit File
Doc Date
10/13/2005
Doc Name
Reclamation Permit Application Form
From
Asphalt Paving Company
To
DMG
Media Type
D
Archive
No
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Division of Minerals and Geology <br />Department of Natural Resources <br />1313 Sherman Street, Room 215 <br />Denver, Colorado 80203 <br />Weld County Planning Department <br />1555 N. 17~" Ave. <br />Greeley, Colorado 80631 <br />RE: Asphalt Paving Company, Wallenberg West Plt, Portions of NW %., Section 25, T1N, R67W, 6th P.M. <br />Agreement to Allow Mining Within 200 Feet of Structures Owned by United Power <br />To Whom It May Concern: <br />The undersigned is an authorized representative of the entity idenGfed below. We are aware of and understand the mine antl <br />reclamation operations for the subject property {see attached "YCinity Map"). We have agreed to a setback from structures <br />that we own as shown on our "POLICY" attached hereto and made a part herein ,and have no problem with the operations <br />being proposed. We have been assured by Asphalt Paving Company that should any damage occur to our structures antl <br />improvements due to the proposed operations, Asphalt Paving Company will tally repair any such damage at its expense or <br />provide full compensation for any damage. <br />The signature of the officer below and the undersigned's signature hereon confirms such agreement and repair/wmpensation <br />obligation between the parties. <br />Undersigned: <br />Unif wer <br />Titlo: C '~ " ~~ ~ _ <br />STATE OF COLORADO ) <br />)ss <br />COUNTY OF Q.Lam'~ ) <br />The foregoing instrument was acknowledged before me on this ~2 S ~ ~' day of y,/7r'( , 2004 by <br />r;..{ h i : 5.:,..~.4~.. Cl, .ef' L~ r~, , {w.~ ,:Ef.t e'f Of (i n . ~le~c/~ G".~.,.~- r ~ ~~tc. <br />' ~ (TWe) (Company) <br />Witness my ham "official seal. <br />Notary Public ~ ~.•~y~„11 4 ~- <br />My commission expires: ~'~ ' ~ ~ 2 "" 7 <br />Asphalt Paving Company . ,`., ~~~~lL/. , <br />By: Jeffrey W. Keller ~~f{?Y!(~ G7'~//i~- <br />Title: President c/cl ~wff <br />STATE OF (~.aJ~mnil'r ) <br />__ <br />~~77 )ss <br />COUNTY C~~~i(,( .~n~ <br />The foregoi instrument was acknowledged <br />2004 <br />official seal. <br />91RTE 09 <br />~l CranAet <br />l~?~ <br />on this d`' day of`~ <br />My wmmission expires: -- rf-O~ <br />
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