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<br />STATEMENT OF RESPONSIBILITY FOR DAMAGE <br />THIS STATEMENT is made by Ed Loloff Const., Inc., hereinafter known <br />as "Operator," on this 20th day of August 1985.E <br />WHEREAS, the Operator has applied for a mining pern{it from the <br />Colorado Mined Land Reclamation Board for a proposed mi ing operation <br />in the Southeast Quarter of the Northwest Quarter and t e South Half of <br />the Northeast Quarter of the Northwest Quarter of Section 4, Township 5 <br />North, Range 65 West of the 6th P.M., said permit appli9ation having <br />been filed on June 19, 1985; and <br />WHEREAS, the Operator intends to establish and operate a sand and <br />gravel mine within the property described above; and <br />WHEREAS, the Colorado Mined Land Reclamation Divisiln has required <br />the Operator to formally address, herein, responsibility for damage <br />caused by the proposed mining operation to offsite struc ures within <br />two hundred feet of the lands to be affected by mining. <br />NOW, THEREFORE, the Operator has identified the fol~owing <br />significant, valuable, man-made structures within two hu dred feet of <br />the lands to be affected by mining: <br />1. One residence, one garage, and one small s ed associated <br />with the property at 665 North Balsam Aven~e, Greeley, <br />Colorado; and <br />2. One garage associated with the property at~701 North <br />Balsam Avenue, Greeley, Colorado; and j <br />3. A power line supported by utility poles al~ng the eastern <br />right-of-way line of North Balsam Avenue. <br />THE OPERATOR HEREBY agrees and promises to compensa$e the owners <br />of the above listed structures for that damage to said si~ructures which <br />is directly and clearly caused by the mining operation. Such <br />compensation and the arrangement therefore will be made ~n accordance <br />with Colorado State Law. <br />THE OPERATOR HEREBY offers, as Exhibit "A", a copy ~f a CERTIFICATE <br />OF INSURANCE for review by interested parties. <br />PAGE 1 OF 2 PAGES <br />