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CERTIFICATION <br /> The Applicant, Transit Mix Concrete Co. (print applicant/company name), <br /> by Jerald Schnabel (print representative's name), as President (print <br /> representative's title),does hereby certify that Margot A. Walter Estate (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 (operation name), <br /> File Number M-2017-049 . <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 /> ACKNO . ED BY: / <br /> Applicant IF, / i .A.dI� / •resentative Name Jerald Schnabel <br /> Date 1 November 13, 2017 Title President of Transit Mix Concrete Co. <br /> STATE OF Colorado ) <br /> ss. <br /> COUNTY OF et 4A0 ) <br /> The foregoing was acknowledged before me this 13thday of November , 20 17,by <br /> Jerald Schnabel as President of Transit Mix Concrete Co. <br /> • '. My Commission Expires: ©aZ-R.22• 1 <br /> Notaryrandlah <br /> KAY SANCHE2 <br /> 4164.1 <br /> NOTARY P <br /> NOTARY IDF 20074002949 UBLIC P <br /> My Commission Expires 02.22.2019 <br />