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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 Huerfano County Road and Bridge(structure owner) shall be <br /> 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 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 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 this <br /> Form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY:$50 i&T erj COA_,0PA wf , -Z"WC. dr 4t-+*tvxA <br /> Applicant .4 0&6&,4--Representative Name Ayoouzo S A%� 2,*yc <br /> Date L <br /> _ At Title Or-ptcr /KAw*%-ew, <br /> STATE OF !CvLvA-*,*s <br /> )SS. <br /> COUNTY OF tj&*"XA ) <br /> The foregoing was acknowledged before me this &day of krorf-rf, 20A by <br /> &A-ou z,--) 94-&*?,AiOL- as CocPICCA"A6M of So' Ccr*1v44X Q0Arr&V-4r,00J &)-v-P*A4f TAt'C <br /> '7 OfL A-L-44"SA <br /> My Commission Expires: <br /> Notary Public <br /> FTRAaE L MEDINA <br /> NOTARY pUBLIC <br /> c <br /> STATE OF COLORADO <br /> NOTARY ID 19974017634 <br /> my Cornmission Expires 10"-01-2022 <br /> _1 <br />