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} <br /> CERTIFICATION <br /> The Applicant, Riverside Aggregates, LLC (print applicant/company name), <br /> by Rudy Torres (print representative's name), as Member (print <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 (operation name), <br /> File Number M-2010-080 , <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 1 - 1DEAk(aj2pAjQ representative Name_ / _ <br /> Date ��%2�/'f� Title DhIh1E'Rj "e7rl r->ER <br /> STATE OF&LC_QA0Q ) <br /> ) ss. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this/a 0day of A11 ust _,20/�,by <br /> fZudy iwes as Dw�er'j�/�rn.f�zr of iycrk"'we gg�e4 tes LAG. <br /> My Commission Expires: 0111�1e "17 <br /> Notary Public <br /> CHRISTINE M SANCHEZ <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20134071369 <br /> MY COMMISSION EXPIRES 11/1412017 <br />