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537 <br />CERTIFICATION <br />The Applicant, Turkey Carlon Quarry Inc., by ,off as V_� _�'!S!.h-Y; does hereby certify <br />that - <br />CARL S BROOKS OR ELIZABETH GARNER (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 />Fele Number M•-1983-035. <br />Signature ofApplica <br />?his forin has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority <br />trader dee Coloyndo Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mitred <br />Land Reclaynation Act for Hard Rock, Metal, and Designated Mining Operations. Any alteration or neodifecation to <br />this force shall resent in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: <br />Applicant: law G6,04 W Representative Name: <br />(Please print) (Please print) <br />Date: C"Oelf- Q . 20 l h <br />STATE OF COLORADO ) <br />) ss. <br />COUNTY OF El PASO ) <br />The foregoing was acknowledged before me this" day of NO , 2018, by <br />as Ul _'� of i A#W LkiNJ W,AlIi-4 t,]G . <br />(si hire of onner or representative) (title) (company name) <br />My Commission Expires: M11A A 3a I VLII— <br />Notary Public Signature <br />ERIC S HOWARD <br />Notary Public <br />State of Colorado <br />Notary 10 a 20144021884 <br />Mx Commission Expires 05.34-2022 <br />Page 2 of 3 <br />