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CERTIFICATION <br />The Applicant, Connell Resources, Inc. (print applicant/company name), <br />by Lary Johnson (print representative's name), as Aggregate Development Manager (print <br />representative's title), does hereby certify that Nunn Telephone Company (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 Connell Carr Pit <br />File Number M -2014- 001 <br />(operation name), <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 />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: <br />Applicant Connell Resources, Inc. Representative Name <br />Date `Z ! 7 !� Title Aggregate Development Manager <br />STATE OF 00401WC ) <br />ss. <br />COUNTY OF L 4rAO ) <br />foregoing was acknowledged efore a this da of rt 20 , by <br />n$cn as of ! s ryes . U=z <br />/�,� / ZLIWl— <,bjr U 1 71 <br />,IP -- My Commission Expires: <br />uk Public <br />DOUGLAS W i <br />ANDERSON I • <br />MY COMMISSION EXPIRES: <br />13809 er 3, 2015 <br />