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New Horizon Mine <br />IV. Notarized Statement <br />Pursuant to Rule 3.03.2(1)(e) each bond release application is required to provide a notarized <br />statement that the reclamation activities have been accomplished in accordance with the <br />requirements of the act and the approved reclamation plan. <br />I, Daniel J. Casiraro, Senior Manager Environmental Services, Tri-State Generation and <br />Transmission Association, Inc., hereby certify that the information contained within this <br />application is correct and true to the best of my knowledge. <br />Signed: 2� <br />Name: Daniel J. Casirarb <br />Title: Senior Manager Environmental Services <br />Tri-State Generation and Transmission Association, Inc. <br />State of Colorado <br />County of a p A fr%,h <br />The foregoing instrument was acknowledged before me this a5' day of , <br />20 (2 by Daniel J. Casiraro, as the Senior Manager Environmental Services of T -State <br />Generation and Transmission Association, Inc., a Colorado cooperative corporation, on behalf of <br />the corporation. <br />D" K. WERE Notary Pub <br />Wary PuM - Sna 01 OWN <br />Notary 10 20121057536 <br />My Commission Expire Sep 1, 2020 <br />Print Nam�:D I A rLt -t<.- <br />Witness my hand and official seal <br />My commission expires: <br />L=Kw <br />._•. l <br />SL -19 Phase III Bond Release Application Page 7 <br />