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CERTIFICATION <br /> The Applicant, Young Ranch Resource,LLC, by Robert L Young Jr.,as Owner and Manager, <br /> does hereby certify that the Goltra West Ranch, LLC (structure owner)shall be compensated for <br /> any damage from the proposed mining operation to the above listed structure(s)located on or <br /> within 200 feet of the proposed affected area described within Exhibit A,of the Reclamation <br /> Permit Application for the Young Ranch Resource Quarry,File Number M-2021-009. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under the <br /> Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br /> Reclamation Act for Hard Rock,Metal,and Designated Mining Operations.Any alteration or modification to this <br /> form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: �G� er l s <br /> � �. <br /> Applicant 7 11 O 84 0c` 12rsCW.T Rep ntative ame h�� , . You. <br /> LL[. <br /> Date Title 0a-,,el' <br /> STATE OF <br /> ss. <br /> COUNTY ) <br /> The foregoing was acknowledged before me this 3�d y of 1��C _ ,20 ,by <br /> l�vbar L cT• as ge, of e <br /> KAT11Y R CAM <br /> G My Commission Expires NOTAPIY PUBUC <br /> ?N'AryPdbli4cir <br /> NOTARYU)IS 40130 <br /> MYo"WM DAM Fl BR Mrn,2M4 <br />