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CERTIFICAT101\ <br /> The Applicant, Cripple Creek&Victor Gold Mining Company LLC. (print applicant/company name), <br /> by Jack Henris (print representative's name),as General Manager (print <br /> representative's title),does hereby certify that Murphy Mining&Exploration,LLC.(structure owner)shall <br /> be compensated for any damage from the proposed muting 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 Reclamation <br /> Pernit Application for Cresson Project _ _ (operation name), <br /> File Number M-198o_244 <br /> This form lies beeit approved by the Colorado Mined Land Reclamation Board pur:suaut to its <br /> authority under the Colorado Land Reclamation Ad for the Extrrtetion of Construction Materials and <br /> the Colorado Misted Lard Reclamation Act for Hard Rock,Metal, and Designated Mining Operations. <br /> Any alteration or modifrcatdon to this form shall result in voiding this forth. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOW EGED BY: <br /> cbr <br /> Applicant (, �_ _ vW___ Representative Name r <br /> Date ----t-- ��cc)� Title <br /> STATE OFCj)�OOJ 6 ) <br /> ss. <br /> COUNTY OF T� - �r} t <br /> The byegoing w s acknowledged Oefbte me this day of 0� _ <br /> I:L.L Y �lS as �'clE'(�� l ' Udbl— <br /> AL <br /> V kkvj� My Commission Expires: Lb tcz �-_, •_�U_ <br /> Nolary"PLkVic <br /> PENNY MARIE ROBERTS <br /> Notary Public- State of Colorado <br /> Notary 10 20124056348 <br /> My Commission Expires Oct 3, 2020 <br />