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CERTIFICATION <br /> The Applicant, Arnol_ds 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 Sarah Petty (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 UL2 <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 /> 1 —` <br /> COUNTY OF V.�A ` 2 ))ss. <br /> The foregoing was acknowledged before me this ij day of I%V ky . <br /> NV1 �AJwCL as Dlf.tC,7 of Ptrj-(�kAr ` cv <br /> IIn0C�-CjIfiGV-)9---lVly Commission Expires: <br /> tary Public <br /> JANiSIE C PEAKE <br /> Notary Public <br /> Stste of Colorado <br /> i D#20144016730 <br /> 1 MyCcmniss;oWEKp;rea04.18 2022 <br />