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CERTIFICATION <br />The Applicant. HUERFANO COUNTY GOVI:RNMENI' (print applicant /company name). by <br />(print representative's name). as <br />(print representative's title), does her•eb\ certify that the EAGLENET ALLIANCE (structure owner) shall <br />be compensated for any damage from the prop minim= operation to the above listed structures) located <br />on or within 200 feet of the proposed affected area described within Exhibit A. of the Reclamation Permit <br />Application for PEAK VIEW GRAVEL 1'1'T (operation name). <br />This form has been approved bj- the Colorado Mined Land Reclamation Boartl parcamtt to its <br />aathorilt, antler the Colorado Land Reclamation Acl for the Crtraction o/'Constritction Materials <br />and the Colorado Miner! Land Reclantatiun Act for (lard Rack, dieted, and Designated Alining <br />Operations. Atti, alteration or inotl? ic•atiun to this form shall recall in voiding; this form. <br />NOTARY F()lt PERMIT APPLICANT <br />ACKNOWLEDGED BY: <br />Applicant HUERFANO COUNTY GOVFANiv1ENT <br />Represcntativ me Art S. Bobian _ <br />Sinned: �: —fit ~r °•� Date 7/30/14 -Title Chairman <br />Representative Name Max Vezzani <br />Signed: .� _Date el <br />Representative Name Edw rd� Garcia <br />SiLncd:��•�?�� _.lc �1� -���� Date <br />STATE OF <br />) ss. <br />COUNTY OF <br />7/30/14 I'itic Commissioner <br />7/30114__ I itic Comm�s��oner <br />The foregoing was acknowledged below me this 30 clay of July .20 14 by <br />Art S. Bobi n of Huerfano County Commissioners <br />TA <br />Notate Public IVI , Commission Expires 9/29/15 <br />NOTARY. ID i995 0411699V <br />My 20212510N EXPIRES SEPTEMBER 29.2015 <br />ACKNOWLEDGED BY: <br />Structure Owner EA( <br />Renresentative Name <br />Signed: X <br />Date 7 /S <br />9EMUM4 -Trmw-1077�M <br />V <br />Title <br />RICHELLE CAWTHRA <br />Notary Public <br />State of Colorado <br />Ss. <br />COUNTY t a <br />Th foregoing was acknowledged belirre me this day of " 20/ by <br />i as Q ofltS�L4 P. <br />r- <br />Notan f u61' ' l��1LL�G� My Commission Expires:,� -��-�w <br />