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CERTIFICATION <br /> The Applicant, Loveland Ready Mix Concrete, Inc., by Brad Fancher, as Vice President, does <br /> hereby certify that Herbert and Mildred Still shall be compensated for any damage from the <br /> proposed mining operation to the above listed structure(s) located on or within 200 feet of the <br /> proposed affected area described within Exhibit A, of the Reclamation Permit Application for <br /> sand and gravel mining of the Knox Pit. <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 <br /> and the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining <br /> Operations. Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Applicant: Loveland Ready Mix Concrete, Inc. <br /> Representative Name: Brad Fa • <br /> Air <br /> Representative Signature: , ' <br /> Date: September 5, 2017 <br /> Title: Vice President <br /> STATE OF COLORADO <br /> SS: <br /> COUNTY OF LARIMER <br /> On this 5 day of September ,2017,before me personally appeared, <br /> BRAD FANCHER,known to me to be the persons whose names are subscribed to the above instrument and who <br /> acknowledged to me that they executed the same as their free act and deed. <br /> IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal the day and year in this.0M1/e`ifii p, <br /> first above written. 10 1 /I <br /> %•` Wen <br /> MY COMMISSION EXPIRES: October 4,2019 Witness my hand and official��I. �,.o•°°°°''•4s <br /> ' <br /> 11 1 ' LO1. <br /> C% i t� 1/ �)xL l — • C• osa At) 4 <br /> ( Notary Public �Q �v / a <br /> i <br /> 0;60% <br /> 'C a <br /> x,',,0,0,ado,```,. <br />