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i <br /> CERTIFICATION <br /> The Applicant CJK Milling Company,LLC,By Stephanie Michael,as Manager,Union Milling <br /> Contractors,LLC,does hereby certify that Leadville Corporation shall be compensated for any damage <br /> from the proposed mining operation to the above listed structures located on or within 200 feet of the <br /> proposed afected area described within Exhibit A of the Reclamation Permit Application for Arkansas <br /> Valley Slag,File Number M2021.-058. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant <br /> to its authority under the Colorado Land Reclamation Act for the Extraction of Construction <br /> Materials and the Colorado Mined Land Reclamation Actfor Hard Rock,Metal, and Designated <br /> Mining Operations.Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> 1 <br /> ACKNOWLEGED BY: <br /> I <br /> Applicant C�K /Y?:II,n� r� 71 Representative Namenh�n; r1;C c'e, <br /> Date !I i5- Z! _ Title_ Mem be r <br /> STATE OF 'Kakwo-, ) <br /> )ss. <br /> COUNTY OF biothurftoL ) <br /> The foregoing was acknowledged before me this Li� day of I j rrn� ,20L,by <br /> ,z4eDh %00- Yl'ii_cha p as--7i .M ejh er of (-1k Vniffin9 �nmo <br /> _ S"� ,,&ebz'er, My Commission Expires:QaA .,.ten aaI5 <br /> Notary Pc <br /> My Commission Expires: <br /> Notary Public <br /> CARA J. EVENSON <br /> Notary Public-State of Kansas <br /> My Appl,Expires January 25,2025 <br />