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CERTIFICATION <br />The Permit Applicant and Mine Operator, Vesco Consulting Services, LLC by <br />fY11L64 -911 A lujaL. , as rrrYL , (Title) does hereby certify that <br />5'147&34r" W UM0 4AAM 15;k&W (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 for 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" . VMCy Representative Name A 1 ket. <br />Date'- <br />— Title �ZtT1oI �ii2 <br />STATE OF = ) <br />ss: <br />COUNTY OF <br />The foregoing was acknowledged before me this day of , 20_r�, by <br />rAj n ? � � ��� as -Q A:)o p i of - �10 <br />- ^My Commission Expires: -� <br />Notary Public-' <br />TARA BRISBY <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID # 19984004223 <br />MY COMMISSION EXPIRES JANUARY 06, 2019 <br />