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CERTIFICATION <br /> The Applicant, Arnolds Custom Seeding LLC (print applicant/company name), <br /> by Tyrun Huwa (print representative's mine),as Director (print <br /> representative's title),does hereby certify that Keene Storage (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: <br /> Applicant Arnolds Custom Seeding LLC Representative Name Tyrun Huwa <br /> Date March 27,2019 Title Director <br /> STATE OF ) <br /> { <br /> COUNTY OF W UCL ) <br /> The foregoin was acknowledged before me this�l day of( dC Ili by <br /> _ <br /> Xi as �/Qt�W of <br /> V NCID &L My Commission Expires: <br /> otary Public <br /> , ,�MSIF C PFAKF <br /> Notary Public <br /> State of Colorado <br /> hoary IL'tr 20144U16/3U <br /> M CCmmissicn Fx ir#a 04-18-2022 <br />