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S35 <br />CERTIFICATION <br />The Applicant, Turkey Canon Quarry Inc., by ,a- r u as V,,,,, --;:—does hereby certify <br />that VANESSA CAROL MALEWITZ (structure owners) shall be compensated <br />for any damage from the proposed mining operation to the above listed structure(s) located within 200 feet of the <br />proposed affected area described within Exhibit A, of the Reclamation Permit for Vollmer Pit, <br />File Number M-1983-035. <br />Signature ofAppli, <br />This foray has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority <br />under the Colorado Laird Reclamation Act for the Extraction of'Constructiot Materials and the Colorado Mined <br />Laird Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. Any alteration or modification to <br />this form shall result in voiding this farm. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOW LEGFD BY: <br />4#0 J Applicant: fiIAi (�Llilt�ttZ.l 1✓ Representative Name: K <br />(Please print) (Please print) <br />Date: Oc'TVbet q. U if <br />STATE OF COLORADO ) <br />)Ss. <br />COUNTY OF El PASO ) <br />The foregoing was acknowledged before me this Itm day of DC*K— , 2018, by <br />MAA6"l as�}l(1C, ��.(�Stt7l�g X of, `� GOJDO WAP l ING , <br />(st ture of owner or mpiesen ative) (title) (company name) <br />My Commission Expires: A3D L? <br />Notary Public Signature <br />ERIC S HOWARD <br />Notary Public <br />State of Colorado <br />Notary ID M 20144021084 <br />My Commission Ex ires.05-30-2022 <br />Rage 2 of 3 <br />