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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 Tumpike,LLC (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 /> )ss. <br /> COUNTY OF kA ` —A ) <br /> The foregoing was acknowledged before me thisaj day of I%VCVA <br /> 11,E '(,%, - as�l d t C of %r l) 0 <br /> C My Commission Expires: <br /> tary Public <br /> �JAMSIE C PEAKE <br /> Notary Public <br /> Sts,e of Colorado <br /> tdc•tery i D 4 20144016730 <br /> L.t!yCcrr,missio,iExpreSO4-18-2022 <br />