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! <br /> i <br /> I <br /> i <br /> CERTIFICATION I <br /> The Applicant CJK Milling Company,LLC,By Stephanie Michael,as Manager,Union Milting <br /> Contractors,LLC,does hereby certify that Orin Diedrich shall be compensated for any damage from the <br /> proposed mining operation to the above listed structures located on or within 200 feet of the proposed <br /> affected area described within.Exhibit A of the Reclamation Permit Application for Arkansas Valley Slag, <br /> I <br /> File Number Y12021-058. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant j <br /> to its authority under the Colorado Land Reclamation Act for the Extraction of Construction <br /> Materials and the Colorado Mined Land Reclamation Act for Hard Rock,Metal, and Designated <br /> Mining Operations.Any alteration or modification to this form shall result in voiding this form. <br /> i <br /> NOTARY FOR PFRMIT APPLICANT <br /> i <br /> ACKNOWLEGED BY: <br /> Applicant c-116 InjiinqGUm Representative NameIJ � t <br /> Date 1��?l Title f►'le n Fie r <br /> STATE OFa <br /> )SS. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this $ day of p h „� ,20.� by <br /> �rze,lz< c6�k as T: L Tryrr.�tly of CJK 11A1-i r _ <br /> I <br /> 'LAh.a. 4, My Commission Expires: <br /> Notary Public <br /> i <br /> f <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 /> i <br />