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CERTIFICATION <br /> The Applicant, RMS Utilities, Inc. (print applicant/company name), <br /> by Neff Malouff (print representative's name), as Vice President (print <br /> representative's title), does hereby certify that Wyatt & Carol Kester (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 RMS Utilities, Inc. (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 V�f` Representative Name /ytpr- <br /> Date Title <br /> STATE OF 0-01 -ado ) <br /> ss. <br /> COUNTY OF Atlamo5a ) <br /> The foregoing was acknowledged before me this 3 day of 4 , 2021 , by <br /> Il l(c -PP as V c e Aysjjm of ILLS 641, Ps "l r <br /> My Commission Expires: g1241'a,pa a <br /> N tary Public <br /> THERESA L GARCIA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19984017165 <br /> MY COMMISSION EXPIRES O&W/2022 <br />