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CERTIFICATION <br /> The Applicant, Arcosa Materials,Inc. by Stuart McQueen, Plant Manager, does hereby certify that the <br /> U.S. Department of Energy shall hereby be compensated for any damage from the proposed mining <br /> operations to the above listed structure(s) located on or within the proposed affected areas described within <br /> Exhibit A of the Reclamation Permit Application for Arcosa Lightweight—Boulder facility, File Number <br /> 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 ueevfx <br /> Date: 7�3aAl� Title: Plant Manager <br /> STATE OF COLORADO ) <br /> ) ss. <br /> COUNTY OF BOULDER ) <br /> The foregoing was acknowledged before me this,30 day of , 20a, by <br /> Stuart McQueen as Plant Manager of Arc a Materials,Inc <br /> My Commission Expires: 07/27/2022 <br /> Notary P is <br /> to <br /> CHERYL MELINO <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20184030332 <br /> MY COMMISSION EXPIRES 07/2712022 <br />