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CERTIFICA'TION <br /> The Applicant, Young Ranch Resource, Ll_C, by Robert L Young Jr., as Manager, does hereby <br /> certifv that the Central City Council (structure owner) shall be compensated for any damage from <br /> the proposed mining operation to the above listed structure(s) located on or within 200 feet of the <br /> proposed affected area described within Exhibit A, of the Reclamation Permit Application for the <br /> Young Ranch Resource Quarry, File Number M-2021-009. <br /> 7his.form has been approved h'v the Colorado Mined Land Reclamation Board pursuant to its <br /> authoril'v under the Colorado Land Reclamation.-tct,fnr the Extraction of Construction Materials <br /> and the Colorado Mined Land Reclamation Act.for Lard Rock, Metal, and Designated Mining <br /> Operations. Anv alteration or modification to this.form shall result in voiding this firm. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGF.D BY: �'y 171 <br /> Applicant: Young Ranch Resource LLC lZdpresentative Name: Robert l.. Young, Jr. <br /> Date: i / T �� 1 Title: Manager <br /> STATE OF <br /> ) ss. <br /> COUNTY OF <br /> 1'he foregoing was acknowledged before me this jr day of_IZJvc dlti Q' 2 02 1, by <br /> Robert L. Young, Jr. as Manager of Young Ranch Resource LLC. <br /> My Commission Expires: '`( <br /> J <br /> Notary Public R'�� <br /> a �TARYB PCUB�(IC L <br /> STATE OF MY COLpgADO <br /> NOTARY ID n <br /> NOTARY FOR ITRAL CITY —WITHIN 200 FT OF THE <br /> YOUNG RANCH RESOURCE QUARRY AFFECTED AREA <br /> ACKNOWLEGED BY: <br /> Structure Owner C 1 Name <br /> Date iU�VE1r��1�E' 1a �C�� l illc ��reGGf C� �cc{�l� <br /> STATE OF _ &Ln i(k ) <br /> ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of 2021, by <br /> � m moo✓er as �����O cs�I�� 5 of alb-� <br /> My Commission Expires: <br /> Notary Public <br /> NOTA Y pp��ggl1EL 3 <br /> STATE OF COLORADO <br /> NOTARY 1010064pJ4{70 <br /> MY GQWfi5"OFM SIYT91BER 9.20 <br />