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CERTIFICATION <br /> The Applicant, Arnolds Custom Seeding LLC (print applicant/company name), <br /> by Rick Gillan (print representative's name), as Vice President (print <br /> representative's title), does hereby certify that Rich Huwa (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 Arnold Pit No. 1 (operation name), <br /> File Number M- 2016 022 <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 /> ACKNOWLEGED1BY: o <br /> Applicant Q(001e 5 C0,5AOvM Se�[n9 Representative Name <br /> Date JC 1 1'1 o Title <br /> STATEOF cowjado ) <br /> ) ss. <br /> COUNTY OF Q.dainS ) <br /> The foregoing was acknowledged before me this j q day of , 20L(0, by ' <br /> A Lr--K Co t L !tom as V I Cp Pr eo t din f of Cl r p1� r,"mom �Sgedc_/)9 <br /> ,--Mmt C a, pop,40- My Commission Expires: a/a7/)Qj <br /> Notary Public <br /> MONICA POOLE <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20064049340 <br /> MY COMMISSION EXPIRES FEBRUARY 27,201 <br />