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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 Mark Arnusch_ _._._.-....__._(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 Rack,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: <br /> Applicant Arnolds Custom Seeding LLC Representative Name Tyrun Huwa <br /> Date March26,2019 Title Director N STATE OF 1O M ) <br /> t }ss. <br /> COUNTY OF W CkCL ) <br /> The foregoing was acknowledged before me thisa(f day of l/C-h ,Q011 by <br /> as of AVV14D LC{ 0uS�an-; �edl 04 L <br /> �y MM Ll� <br /> Pea� My Commission Expires: � ,...� 17, 00 a <br /> N tary Public <br /> I JAMSIE C PEAKE <br /> Notary public <br /> Stflta of Colorado <br /> Notary I D#20144016730 <br /> M Commission Expires 04-18-2022 <br />