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CERTIFICATION <br /> The Applicant, Hunt Water, LLC (print applicant/company name), <br /> by David Hunt (print representative's name), as Manager (print <br /> representative's title), does hereby certify that Green Valley Turf Residential Str (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 Hunt Water, LLC - Gravel Mine (operation name), <br /> File Number M-xxxx - xxx . <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 /> ACKNOWLEGED BY: <br /> Applicant Hunt Water, LLC Representative Name David Hunt <br /> Date June I 2018 Title Manager <br /> STATE OF <br /> ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of ,-._ . 201�, by <br /> as ( lm� y . of h,%t w R V, Ll,& <br /> My Commission Expires: qLia/tti <br /> Notary Public <br /> ANDY RODRIGUEZ <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> My Commission Expires on <br />