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CERTIFICATION <br />The Applicant, Transit Mix Concrete Co. (p <br />by Jerald Schnabel (print representative's name), as President <br />applicant/company name), <br />(print <br />representative's title), does hereby certify that 2390 Paseo Corta Road 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 Hitch Rack Ranch Quarry <br />File Number M-2016- 010 <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 Representative Name <br />Jerald Schnabel <br />Date ; July 1, 2016 Title President of Transit Mix Concrete Co. <br />STATE OF Colorado <br />COUNTY OF Denver <br />ss. <br />The foregoing was acknowledged before me this 1st day of July , 20 16, by <br />Jerald Schnabel as President of Transit Mix Concrete Co. <br />r 4, My Commission Expires: May 7, 2018 <br />Notary Public <br />HELENE GRACE WIETING <br />NOTARY PUBW <br />STATE OF COLORADQ - <br />NOTARY 102010WIVS4 <br />Vf COMMISSION EVM MAY 7, 269 <br />