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Varra Companies, Inc. <br />Office of Special Projects <br />8120 Gage Strcct Frederick. Colorado 80516 'rclephone (303) 666 -6657 Fax (303) 666 -6743 <br />I <br />State of apt_ 0 i fi OCR <br />County of BO Li t OC (%_ <br />Company or Corporation <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 nay occur within 200 feet of lands affected within the proposed Varra Resources Project 110 (OMLI< <br />Permit it: M- 1984 -036 formerly Dakolios Pit). <br />Upon review of the available materials, including the written portion of Exhibit 1) -- 13xtraction 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 1t: M 1984 - 036 formerly l'it); <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 elan -made structures; and that any damage to said structures directly attributed to the <br />act,ivitics of Varra Companies, Inc. (the Operator); will be compensated for by the Operator. <br />1�,t�•.�v, i ��� ��,1,,.�.,��titi� _r> I, 1 > 201 1 <br />Signature of Adjacent Landowner Date <br />Teodre (f\. + Ltn c1 a (. 1- A maim__ <br />Print Namc <br />)ss. <br />The foregoing instrument: \vas acknowledged before me this <br />3?r < <br />. ' % - ! i 1. ‘C <br />/? 1 <br />clay 01 <br />wci <br />Title. <br />• <br />01 <br />Notary Public <br />My Commission expires:. ) 7 <br />2 <br />