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This form has been approved by the Colorado Mined Land Reclamation Board <br /> pursuant to its authority under the Colorado Land Reclamation Act for the Extraction of <br /> Construction Materials and the Colorado Mined Land Reclamation Act for Hard Rock, Metal, <br /> and Designated Mining Operations. Any alteration or modification to this form shall result in <br /> voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: / <br /> Applicant: Skoglund Excavating, Inc. Representative Name: <br /> Ken Skoglund <br /> Date: - OO 1 / 7 Title: President <br /> STATE OF COLORADO ) <br /> ss. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this 1120 day of 2 dl , 2017, by Ken <br /> Skoglund as President of Skoglund Excavating, Inc. <br /> My Commission Expires: KRIS tar PUhloC D <br /> Notary Public State of Colorado <br /> Notary ID 20144011351 <br /> My Commission Expires Mar 19,2018 <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: Whiting Oil and Gas Corporation, <br /> Managing Member <br /> Structure � � <br /> Owner: Sustainable Water Resources, LLC Representative Name: <br /> Jam s J. Vo e <br /> Date: February 16, 2017 P ident and CEO <br /> STATE OF COLORADO ) <br /> CITY AND ) ss. <br /> COUNTY OF DENVER ) <br /> The foregoing was acknowledged before me this 161h day of February, 2017, by James J. Volker, <br /> as President and Chief Executive Officer of Whiting Oil and Gas Corporation, Managing <br /> Member of Sustainable Water Resources, LLC. <br /> YVETTE A.ARCENEAUX <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> My Commission Expires: NOTARY In IQQ64017066 <br /> Ntjary Public MY COMMISSION EXPIRES 03/16/2021 <br /> 2 <br />