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CERTIFICATION <br /> The Applicant, Russell Larsen, Kilgore Companies, LLC dba Elarn 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 The City of Grand Junction (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 Alined Land Reclamation Board pursuant to Its <br /> authority rrndet•the Colorado Laud Reclamation Act for the Extraction of Constrrtelion Materials and <br /> the Colorado Mined Land Reclrernation Act for Hard Rock,Metal, and Designated Mining Operations. <br /> Any alteration or modification to this form shall result in voiding this forin. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWL BY: (LI(�O(Z C(MPAAVJEIS, L LC- bBA tt," 00A)5'YIectC.r(C&j <br /> Applicant / e resentativeName1155r`,[_l <br /> Date(7 '�Z4- LZO E 8 Title <br /> STATE OF <br /> ss. <br /> COUNTY OF -c5 a ) <br /> The foregoing was acknowledged before me this Q�I day of 7 4. 2066, by <br /> „��S-<\\ A• L�CS Y,r. asChrtsr ODr c�o ,n� C'1rrCt�d'of �,r�aore_ Cornn�eS ILC <br /> ab Elam Coc��k('vz'L:ot\ <br /> My Commission Expires �cLi,, �0 a�a 2 <br /> Notary iblic <br /> FaJONIPATTON <br /> Pjb Ic-Sax of <br /> Coo <br /> ra:c <br /> ry M 20124005040 <br /> ission ExAes Jan 30.2022 <br />