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CERTIFICATION <br /> The Applicant CJK MAling Company,LLC,By Stephanie Michael,as Manager,Union Milling <br /> 3 <br /> Contractors,LLC,does hereby certify that Colorado Department of Transportation shall be <br /> i <br /> compensated for any damage from the proposed mining operation to the above listed structures located on <br /> or within 200 feet of the proposed affected area described within Exhibit A of the Reclamation Permit <br /> Application for Arkansas 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 Actfor 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 /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant G 06 art Representative Name �Vn Lge, 01 f`,r had <br /> Date Title m m be r <br /> STATE OF .WaU0, ) I <br /> )ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of 20 _,by <br /> as T. le.`17�ey,�r�n_ of CJk tm;V=4; a. OA21, <br /> I <br /> My Commission Expires:� d5,dOn5 <br /> Notary Pub c <br /> i <br /> i <br /> i <br /> My Commission Expires: <br /> Notary Public <br /> i <br /> i <br /> € <br /> f <br /> CARA J. EVE►VSON <br /> Ploiary Public-Siate of Kansas <br /> My Appt.Expires January 25,2025 j <br /> i <br /> 3 <br /> ; <br /> 1 <br /> F <br />