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. <br /> CERTIFICATION <br /> The Permit Applicant and Mine Operator, Green Acres Recycling,LLC,by Martin Lind, <br /> Manager, does hereby certify that State Board of Land Commissioners(structure owner) shall be <br /> compensated for damage incurred by GoodMiller#2 mining operation to the structure(s)located <br /> within 200 feet of the mine affected area described within the attached letter,as related to the <br /> Reclamation Permit for GoodMiller#2 Pit,Permit File M-2014-070. <br /> This form has been approved by the Colorado Mined Land Reclamation pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials <br /> and the Codorado Mined Land Reclamation Act for Hard Rock Metal, and designated Mining <br /> Operations. Any alteratiorr of thfs form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICATION <br /> ACKNOWLEDGED BY: <br /> Applicant: Green Acres Recvcling,LLC Representative Name: Martin Lind <br /> Date: Anril 8,2022 Title: Mana�er <br /> STATE OF COLORADO ) <br /> )ss. <br /> COUNTY OF WELD ) <br /> The foregoing was acknowledged before me this Apri18,2022,by Martin Lind as <br /> Manager of Green Acres Recycling,LLC. <br /> My commission expires: September 9,2024 <br /> Witness my hand and official seal. <br /> LARA D. WYNN <br /> Notsry Public ara D. ynn, ary Pub <br /> 8tete of Coloredo <br /> N ote ry I D�►20044032091 <br /> M Commlision Ex irea o9-08-2024 <br /> 2 <br /> M8/22:1Lv Adj Prop O�wer CO <br />