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CERTIFICATION <br />The Applicant, Western Slope Materials LLC, by Sean Mello, as General Manager, does <br />hereby certify that as iJ 'D j r c_ 8 C e ,,,t P t ra Y (structure owner) shall be <br />compensated for any damage from the proposed mining operation to the above listed <br />structure(s) located on or within 200 feet of the proposed affected area described within <br />Exhibit A, of the Reclamation Permit Application for Blue Pit, File Number M-1 981-207, <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority <br />under the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado <br />Mined Land Reclamation Act forHard Rock-, Metal, and Designated Mining Operations. Any alteration or <br />modification to this form shall resuk in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: <br />L.J C S L Etr� [1 <br />Applicant c Representative Name S-, tJ Mr e- L. d <br />Date Title IE a tr ti�L__ <br />STATE OF <br />r rTIMOTHY OLK <br />COUNTY OF G-t�aldl )ss. Notary Public <br />State of Colorado <br />Notary ID # 20164038408 <br />My Commission Expires 10-06-2020 <br />The foregoing was acknowledged before me this I day of , 2016 , by <br />a„1 M c o as �.J t- a� t`'t,�NA",�4of (-` <br />WE ! \ Ei.s.1 S4G Q Y -1/4i4 n-lj�•LS LC_ <br />... My Commission Expires: IC) 6 40 <br />Notary Public <br />