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CERTIFICATION <br /> The Applicant, Southway Construction Company, Inc. of Alamosa, by Alonzo Salazar, as Office <br /> Manager, does hereby certify that Margaret Meyer(structure owner)shall be compensated for <br /> y damage from the proposed mining operation to the above listed structure(s) located on or <br /> within 200 feet of the proposed affected area described within Exhibit A,of the Reclamation <br /> Permit Application for the Bradford Mesa Quarry, File Number M-2019-046. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under the <br /> Colorado Land Reclamation.A ci 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 this <br /> form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Representative Name_ e 5 �� <br /> Date _ _ .Title /cr & Gam.. <br /> STATE OF !°p LQt4."o ) <br /> )ss. <br /> COUNTY OF ALA- S6 ) <br /> The foregoing was acknowledged before me thisday of 20�,by <br /> o�✓zv s Mt. as VtcA °I,Mv of S° �7"t#�nI � p <br /> r ltiCtl' `' li'I i r'Z r My Commission Expires: ZO// 4;/ <br /> Notary Public <br /> ?RAGE 1.MEDINA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY !D 1997401763+4 <br /> My Commission Expires 10-01-2021 <br />