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CERTIFICATION <br />The Permit Applicant and Mine Operator, Vesco Consulting Services, LLC by <br />IAVc iNM[:L (K IUVL , as "r'K- , (Title) does hereby certify that <br />I1lli l.ID cDU N r y (structure owner) shall be compensated for any <br />damage from the proposed mining operation to the above listed structure(s) located on or within 200 <br />feet of the proposed affected area described within the letter attached to this agreement, of the <br />Reclamation Permit for GoodMiller #2 Pit, Permit File Number M- 2014 -070. <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under the <br />Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br />Reclamation Act far Hard Rock Metal, and Designated Mining Operations. Any alteration or modification to this <br />form shall result in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY. <br />Applicant _uFS fp Representative Name <br />Date A-&-- 1 J Title 0kJ%L1- <br />STATE OFD <br />') ss. <br />COUNTY OF L-Ald - ), <br />The foregoing was acknowledged before me thisiLt day of 1-, , 20j_% by <br />rtti�.�ro�4LC tl�.�' Lit 7l e of Val tSec� <br />V. My 'Commission Expires: <br />Notary Pub is <br />TARA BRISBY <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 9 19984004223 <br />MY COMMISSION EXPIRES JANUARY 06. 2019 <br />