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New Horizon North Mine <br />IV. Notarized Statement <br />Pursuant to Rule 3.03.2(1)(e) each bond release application is required to provide a notarized <br />statement that the reclamation activities have been accomplished in accordance with the <br />requirements of the act and the approved reclamation plan. <br />I, Daniel J. Casiraro, Senior Manager Environmental Services, Tri-State Generation and <br />Transmission Association, Inc., hereby certify that the information contained within this <br />application is correct and true to the best of my knowledge. <br />Signed: �j . 4 <br />;�;� <br />Name: Daniel J. Cas <br />Title: Senior Manager Environmental Services <br />Tri-State Generation and Transmission Association, Inc. <br />State of Colorado <br />County of Ua%� <br />The,going instrument was acknowledged before me this day of <br />20 by Daniel J. Casiraro, as the Senior Manager Environmental Services of Tri-State <br />Generation and Transmission Association, Inc., a Coloradq cooperative corporation, on behalf of <br />the corporation. 1 I N <br />Witness my hand and official seal <br />My commission expires: <br />3l Zo22 <br />Page 5 <br />Notary Pub] <br />Print Name: <br />CHRISTOPHER LINDGREN <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20/84006519 <br />M`/ COWSS*N EXPIRES JANUARY $1.2022 <br />