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CERTIFICATION <br />The Applicant, Connell Resources, Inc. (print applicant/company name), <br />Larry Johnson Aggregate Development Manager runt <br />by ry (print representative's name), as � <br />representative's title), does hereby certify that <br />L.G. Everist, Inc. 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 <br />Connell Carr Pit (operation name), <br />File Number M -2014_ 001 <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 />L <br />� <br />Applicant Connell Resources, Inc. Representative Name <br />Date <br />L�- l Title Aggregate Development Manager <br />STATE OF DZ01Q��(% ) <br />ss. <br />COUNTY OF <br />� ! G0� by <br />The fore $oi g was acknowledg before e thi �� ay ofof r• �P /l p J�` <br />r �t,1 S.r/n_ as <br />My Commission Expires: <br />No Public <br />• i ANDERSON <br />MY COMMISSION EXPIRE* <br />Dewmber 3, 2015 <br />