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CERTIFICATION <br />The Applicant, Fremont Paving & Redi-Mix Inc. ( <br />print applicant/company name), <br />byJohn P. Ary (print representative's name), as President (pmt <br />representative's title), does hereby certify that Thomas B r e g a r ( <br />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 Pueblo County Aggregate Project (operation name), <br />File Number M2016 -009. <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 PERNUT APPLICANT <br />ACKNOWLE D <br />Applicant Representative Name J o h n P. A r y <br />Date Septem er 2, 2 Title President <br />STATE OF Mk ) <br />ss. <br />COUNTY OF 0\01\6 ) <br />me this day of 20 W. by <br />fC ofcWt <br />My Commission Expires: 1) E 0-1 O , c'O 11 <br />REBECCA ELLIOTT <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY 10 # 19984002037 <br />MY COMMISSION EXPIRES DECEMBER 16, 2019 <br />Wk