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CERTIFICATION <br /> The Applicant, Crossfire Aggregate Services, LLC (print applicant/company name), <br /> by Deb Koenig (print representative's name), as Regulatory Manager (print <br /> representative's title), does hereby certify that BP America Production Corp.(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 Crossfire Bonds Gravel Pit (operation name), <br /> File Number M- - . <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 : : <br /> Applicant / � �!! <br /> /,/, Representative Name De 6 lC d e h I <br /> Date lefir of Title /4err2;/ /4 4/ni 111, 1— <br /> STATE OF Colorgo,D ) BRENDA L FULKROD <br /> ss. NOTARY PUBLIC <br /> COUNTY OF(�QI Qk-Q ) STATE ID 2014 COLORADO 214 <br /> NOTARY ID 20144002140 <br /> MY COMMISSION EXPIRES JANUARY 15,2018 <br /> The foregoing was acknowledged before me this 5 day of `!orwoir , 20 15, by <br /> �4,b kOf�r� as R1J3LA a1•rxtt MOt1acre of cycksayt ILL C. <br /> My Commission Expires: 1 • a01 9 <br /> Notary blic <br />