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Van - a Companies, Inc. <br />Office of Special Projects <br />8120 Gabe Street Frederick, Colorado 80516 Telephone (303) 666 -6657 Fax (303) 666 -6743 <br />Statement of Understanding <br />Landowner of Adjacent Structure Statement: Our notarized signature below testifies we <br />have been provided with an opportunity to review a Map showing the approximate relationship of our <br />property and the potential for any qualified significant, valuable and permanent man -made structure(s), <br />which may occur within 200 feet of lands affected within the proposed Varra Resources Project 110 (OMLR <br />Permit Ii: M- 1984 -036 formerly Dakolios Pit). <br />Upon review of the available materials, including the written portion of Exhibit D – Extraction Plan from <br />the Amendment application; <br />And understanding the relationship of any significant, valuable and permanent man - made structures <br />under our ownership and which may stand within 200 feet of lands affected within the proposed Varra <br />Resources Project 110 (OMLR Permit #: M -1984 -036 formerly Dakolios Pit); <br />Further, by our signatures, as notarized below, we concur that planned activities detailed in the <br />application for permit M -1984 -036; do not impact our qualified significant, valuable and permanent <br />adjacent man -made structures; and that any damage to said structures directly attributed to the <br />activities f Companies, Inc. (the Operator); will be compensated for by the Operator. <br />Signature of Adjacent Landowner Date <br />set_ 4 , v 2444,c) 74' 4 - /- <br />v 5 <br />Print Name <br />State of CO - <br />County of (VP / <br />Company or. Corporation <br />) <br />) ss. <br />91, Y k • <br />(q ( ( ,2011 <br />t_ <br />The foregoing in trument was acknowledged before me this / `7 of /9p -7 ( , <br />20 b 0 /7 GL,i `f f:or J 7` <br />aoyr <br />Notary Public // <br />M Commission ex Aires: ? 1 <br />My expires: <br />