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CERTIFICATION <br /> The Applicant, Oldcastle SW Group, Inc. dba United Companies, by Pete Siegmund, as <br /> Assistant Secretary, does hereby certify that_Yampa Valley Electric Association (structure <br /> owner) shall be compensated for any damage from the proposed mining operation to the <br /> above listed structure(s) located on or within 200 feet of the proposed affected area described <br /> within Exhibit A, of the Reclamation Permit Application for Breeze Basin Sand & Gravel, <br /> File Number M2008-022 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under <br /> the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br /> Reclamation Act for Hard Rock, Metal, and Designated Mining Operations.Any alteration or modification to <br /> this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant_Oldcastie sw Group,Inc.dba United Companies_Representative Name_ eter J Sie mun <br /> Date Title Assistant Secreta <br /> STATE OF_Colorado _) SONA L.VAN HORN <br /> ss. NOTARY PUBLIC <br /> STATE OF COLORADO <br /> COUNTY OF Mesa_) NOTARY ID#20144015627 <br /> My Commissar Expires April%2022 <br /> The foregoing was acknowledged before me this day of S��,vt,'_ , 20_Lq, by <br /> as N�q of kj�jClk1;U <br /> C U�l My Commission Expires: aoaa <br /> Notary Public <br />