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CERTIFICATION <br />The Applicant, Connell Resources, Inc. (print applicant/company name), <br />by Larry Johnson (print representative's name), as Aggregate Development Manager (print <br />representative's title), does hereby certify that Poudre Valley REA (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 (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 />Applicant Connell Resources, Inc. Representative Name <br />Date Title Aggregate Development Manager <br />STATE OF COLOkMQ <br />) ss. <br />COUNTY OF t ) <br />The foregoin was acknowledged efore m t 's �7ay of � Pj -I— 20� by <br />L as of I��l�l/ <br />i My Commission Expires: Aa 3 awv <br />Public <br />DOUGLAS YI% <br />ANDERSON • <br />MY COMMISSION EXPIRES:: <br />Deoembsr 3, 2015 <br />