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CERTIFICATION <br />The Applicant, APC SOUTHERN CONSTRUCTION CO. LLC (print applicant/company name), <br />byJames MacDonald (print representative's name), as Project Manager (print <br />representative's title), does hereby certify that Huerfano County - CR 611(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 FRANCISCOTTI PIT #2 (operation name), <br />File Number M- <br />This form has been approved by the Colorado Miner! Land Reclamation Board pursuant to its <br />authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br />the Colorado Miner! Lund Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. <br />Any alteration or mortification to this form shall result in voiding this form. <br />ACKNOWLEGED BY: �/ Uy (�< <br />Applicant �l ,�(k t6--(rl i ��frK ,(ll'1 Representative Name, a -ire- ti�1/,,� <br />lMG� <br />'2 I Title \ ►r[ - �tr"-n� <br />Date A <br />STATE OF T ) <br />ss. <br />COUNTY OF r ) <br />foregoing was cknowledged before e this day of I 20 , <br />la, , as - .� of <br />n <br />Ji' 1 L j _ My Commission Expires: <br />-] ],�-Wl al) 2- 1 <br />NotWj Public <br />ELIZABETH wHrrESEL-DUTTON <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20014022842 <br />MY COMMISSION EXPIRES 07/24/2021 <br />