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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 :'fining Operations. <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT AI'PLIC,A\T <br /> ACKN()WLEGE D BY: <br /> .Applicant Hunt Water, LLC Representative Narne David Hunt <br /> Date June �b 2018 Title Manager <br /> STATE. OF (��,un�, ) <br /> ) ss <br /> ( (W\ iY 0I <br /> l he t��re` yin_ ��a� acknowledged betore me thi, ;)� day of lArk . 201G , by <br /> as of hu"t 'jxk" at <br /> My Commission Expires: mot' �z I <br /> Notary Public <br /> i`. � i <br /> ANDY RODRIGUEZ <br /> NOTARY PUBLIC ; <br /> 1 STATE OF COLORADO t <br /> �Ay Commission Fxpirc-,;cn V <br /> f' __ <br />