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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 underground Waterline,Noble Midstream (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 May 29,2019 Title Director <br /> STATE OF ) <br /> A )ss. <br /> COUNTY OF LJ 'U _) <br /> The foregoing was acknowledged before me this �-/P�lay of TJ(L4' fCf J19 by <br /> 1'> U L—"aL as t LrCT0 of�,,o, °UuUs C_osIt.i) ) <br /> " 1 <br /> (j i2(L 6 1 l_1`=��- My Commission Expires: <br /> Notary Public <br /> i4K�NICA L.VICKERS <br /> NOTAR`l PugUC <br /> STATE OF COLORADO <br /> NOTARY ID 2'034011009 <br /> MY COMMISSION EXPIRES JUNE 10,2019 <br /> JI <br />