Laserfiche WebLink
The Applicant, Cooley & Sons Excavating, Inc. (print applicant/company name), <br />b James Cooley (print representative's name), as President (print <br />representative's title), does hereby certify that Rio Grande Canal Water User's (structure owner) shall <br />be compensated for any damage from the proposed mining operation to the above listed structure(s) <br />located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br />Permit Application for Pepper Recharge Pit <br />File Number M- 2011 034 <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br />authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br />the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. <br />Any alteration or modification to this form shall result in voiding this form. <br />ACKNOWLEGED BY: <br />Applicant ? �, Representative Name James Cooley <br />Date J nuary 12, 2012 Title President <br />STATE OF ) <br />) ss. <br />COUNTY OF�p„�� ) <br />tk <br />fore oin was acknowledged before me this / day of <br />of <br />as <br />CERTIFICATION <br />NOTARY FOR PERMIT APPLICANT <br />f , 20 /2, by <br />40 �'. <br />My Commission Expires: 3/ 7 /26 /S <br />(operation name), <br />