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CERTIFIC,ATION <br /> The Applicant,Arcosa Materials, Inc. by Stuart McQueen, Plant Manager,does hereby certify that Xcel <br /> Energy shall hereby be compensated for any damage from the proposed mining operations to the above <br /> listed structure(s) located on or within the proposed affected areas described within Exhibit A of the <br /> Reclamation Permit Application for Arcosa Lightweight—Boulder facility, File Number M-1988-108 <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 /> ACKNOWLEGED BY: <br /> Applicant: Arcosa Materials, Inc. Representative Name: Stuart Mc ueen <br /> 4 <br /> Date: 7�� � Title: Plant Manager <br /> STATE OF COLORADO ) <br /> ) ss. <br /> COUNTY OF BOULDER ) <br /> The foregoing was acknowledged before me this3_day of 1A j , 20-ft,by <br /> Stuart McQueen as Plant Manager of Arcosa Materials, Inc <br /> My Commission Expires: 07/27/2022 <br /> No y ublic <br /> CHERYL MELINO <br /> NOTARY PUBLIC <br /> SLATE OF COLORADO <br /> NOTARY ID 20184030332 <br /> MY COMMISSION EXPIRES 1111112122 <br />