2008-10-17_PERMIT FILE - M2008017

• Permit No: M2008017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/17/2008
• Doc Name: Adequacy Review Response
• From: J&T Consulting, Inc.
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Mr. Karl Kohlhoff
RE: Agreement for Compensation for Damage to Structures within 200 feet of mining activities
-2-
With this letter, Broken Arrow Investments, LLC requests your authorization to
conduct mining and reclamation activities within 200 feet of the structures located on
your property. In return for this authorization, Broken Arrow Investments, LLC agrees
to provide fair compensation for any damage to your structure(s) resulting from its
mining and reclamation activities. Your notarized signature below grants permission
for Broken Arrow Investments, LLC to conduct mining and reclamation activities
within 200 feet of your structure(s), and acknowledges Broken Arrow Investments,
LLC's commitment to provide compensation for any damages to said structure(s)
caused by Broken Arrow Investments, LLC's mining and reclamation activities.
Sincerely,
I WWII-1A V?IUL
Darwin D. Derr, Manager
Broken Arrow Investments, LLC
Mr. Karl Kohlhoff
The foregoing instrument was acknowledged before me this
as
on
Date
Date
day of
Notary Public
My Commission Expires:
Broken Arrow Investments, LLC 699 North I" Avenue Greeley, Colorado 80631
by,