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CERTIFICATION <br />The Applicant, Las Animas County (print applicant/company name), <br />by Gary D. Hill (print representative's name), as Board of Commissioners Chairman (print <br />representative's title), does hereby certify that Gary Yocam Ranch LLC (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 Yocam Gravel Pit <br />File Number M-1999- 060 <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 SL�� Repr <br />Date 1---7 h - Title <br />STATE OF oLUrc,c�o ) <br />) ss. <br />COUNTY OF t -A5 k-yors ) <br />The foregoing was acknowledged before me thisq-arday of in , 20 rS , by <br />C'1V}RM D. Iii I l __ as �? ,_ �v,ncun of avnl C4�QyWmmsr`m,e6 . <br />My Commission Expires: Q(p 'oZQld' <br />N4aP*ublic D� <br />KIMBERLY A. CHAVEZ <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 19984014199 <br />MY COMMISSION EXPIRES JUNE 03, 2018 <br />