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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 High Pressure Gas Line,Xcel Energy (stnicture 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 26,2019 Title Director <br /> STATE OF ) <br /> )ss. <br /> COUNTY OF WQk ) <br /> The foregoing was acknowledged before me this aLL day of bfta&4'1 t by <br /> yti,n,. 1auvj o.- as 1 a c,4 e of Pdy o jcy S'nm�i L <br /> My Commission Expires: �- <br /> No ry Public <br />