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CERTIFICATION <br />The Applicant, Riverside Aggregates, LLC (print applicant/company name), <br />by Rudy Torres (print representative's name), as Member (pmt <br />representative's title), does hereby certify that Hans Friederichs (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 Friederichs Pit <br />File Number M -2010- 080, <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 IGMIIM Ak(2 &-A4.TE_5 _representative Name <br />Date ��f�ff� Title OWh j <br />STATE OF _h Ci <br />COUNTY OF Pkw <br />The foregoing was acknowledged before me this A? Oday of August_ , 201 '/, by <br />lZu y i'�es as eT22e1'/Mer hz- - of�rers��e' 414 r Af rs Lze - <br />My Commission Expires: <br />Notary Public <br />CHRISTINE M SANCHEZ <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20134071369 <br />MY COMMISSION EXPIRES 11/1.412017 <br />