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f i <br /> U3 <br /> CERTIFICATION <br /> The Applicant,Turkey Cation Quarry Inc., by rn a z ie as y,e` does hereby certify <br /> that MOUNTAIN VIEW ELECTRIC ASSOCIATION (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 ofApplican <br /> This fostn has been approved by the Colorado Mined Land Reclamation Board pta•suant to its authority <br /> under the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined <br /> Land Reclamation Act for Hard Roca, Metal, and Designated Mitring Operations.Any alteration or modification to <br /> this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOW LEGED BY: <br /> Applicant: (A(VDfjVr*¢—J t4l(,, Representative Name: <br /> (Please s print) (Please print) <br /> - "l T <br /> Date: DCXTDW ?#jb Title: V1 1 KlG�IOg <br /> STATE OF COLORADO ) <br /> ) ss. <br /> COUNTY OF El PASO ) <br /> The foregoing was acknowledged before me this(�A day of wivb , 2018, by <br /> jp�I —(' � as h �( WVV of GP?JDO (fit A19- ( 1,1,{UG <br /> (si ture of owner or representative) (title) (company name) <br /> My Commission Expires: 3D I <br /> Notary Public Signature <br /> ERIC S HOWARD <br /> Notary Public <br /> State of Colorado <br /> Notary 1D M 20144021884 <br /> My Commission Expires 05-30-2022 <br /> Page 2 of 3 <br />