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CERTIFICATION <br /> The Applicant, Kilgore Companies, LLC dba Elam Construction (print applicant/company name), <br /> by Russell A. Larsen (print representative's name), as Chief Operating Officer (print <br /> representative's title), does hereby certify that HB Rentals (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 Orchard Grove Industrial Pit ("23 1/4 Road Pit") (operation name), <br /> File Number M-1990-094 <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 Elam Construction Representative Name <br /> Date December 3rd,2018 Title Chief Operating Officer <br /> STATE Ok6 ��) <br /> tv� ) ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this3"— day of L�ne,,,,��pa�, 20j�L,by <br /> kLS-a� l ac5-�,n asClli�sr�.ge�oC, C111 rof V-Oneae.QQV -Qw-,,;. L LL c►.be..... <br /> V <br /> My Commission Expires: <br /> NoEy Public <br /> JONIPATTON <br /> Notary P14bic-S:a:e of Co'orado <br /> Notary ID 20184005040 <br /> My Commission Expires Jan 30.2022 <br />