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CERTIFICATION <br /> The Applicant, Tim & Justin Kuntz Trucking, LLC (print applicant/company name), <br /> by Justin Kuntz (print representative's name), as co-Owner (print <br /> representative's title), does hereby certify that Highline Electric Association (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 Fryrear Pit#2 (operation name), <br /> File Number M-1998-071 <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 Tin E✓ds114 e2n 1 riY/P �r�,� epresentative Name <br /> Date G��JL�.L l.5. 7�9�l Title (e <br /> STATE OF �l�^a 41c) ) <br /> ) ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this f-'j day of 20�,by <br /> as/�'� L�t�1>n� -of ,� �����-� e <br /> &yj& TuCln� 0 <br /> RANDALL D. SCHAFER <br /> My Commission Expires: NOTARY PUBLIC <br /> Notary Public STAI E OF C RADO <br /> NOTARY ID 19954016062 <br /> MY COMMISSION EXPIRES 12/06/2016 <br />