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CERTIFICATION <br /> The Applicant, Atlas Mining & Reclamation, LLC (print applicant/company name), <br /> by Eli Doose (print representative's name), as Manager (print <br /> representative's title), does hereby certify that Red Mountain Trust, LLC (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 Reclamation <br /> Permit Application for Von Doose Mine (operation name), <br /> File Number M- - . <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 /> ACKNOWLEGED BY: <br /> Applicant Atlas Mining & Reclamation, LLC Representative Name Eli Doose <br /> Date 'l-ate --1 c, Title Manager <br /> STATE OF AZtz(2,.,A ) <br /> ) ss. <br /> COUNTY OF P, ti _ ) <br /> The foregoing was acknowledged before me this5 day of Apzt♦ , 201q , by <br /> L/' 0045i- as /1evy/y..it of Af-,vh Ihimy«.aL 2.,-/4 i,'b, LLij <br /> My Commission Expires: 5E- o�1 <br /> Not y P u lic C <br /> JOYCE K.LONG <br /> Notary Public-Arizona <br /> K 7 PinalCounty <br /> G <br /> i` ;,,01, My Comm.Expires Sep 13.2021 <br /> 6 <br />