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CERTIFICATION <br /> The Applicant, Arnolds Custom Seeding, LLC (print applicant/company name), <br /> by Tyrun Huwa _ (print representative's name),as Director_ (print <br /> representative's title), does hereby certify that Underground Waterline,Noble Midstream (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 <br /> Reclamation Permit Application for Arnold Pit No.1 (operation name), <br /> File Number M- 2016 022 <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 /> ACKNOWLEDGED BY: r <br /> Applicant Arnolds Custom Seeding LLC Representative Name Tyrun Huwa <br /> Date May 29,2019 Title Director <br /> STATE OF (D __) <br /> �� JJ )ss. <br /> COUNTY OF Oe,U ) <br /> The foregoing was acknowledged before me this_,20'day of icy 219 by <br /> ` k1 U LJO as O,r,,C-1v✓ of 0c.yj a/d 5 ,Se&d iai LLC , <br /> u6 t', 1 � LLL My Commission Expires: <br /> Notary Public <br /> MONICA L.VICKERS <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20034011009 <br /> MY COMMISSION EXPIRES DUNE 10,2019 <br />