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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 Wig�ins Telephone Companv(structure owner) shall be <br /> compensated for damage incurred by GoodMiller#2 mining operation to the shucture(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 Codorado Mined Land Reclamation pursuant to its <br /> authoriry under the Colorado Land Reclamation Act for the Extraction of Construction Materials <br /> and the Colorado Mined Land Reclamation Act for Hard Rock Metal, and designated Mining <br /> Opercrtions. Any alteration of this form shall result in voiding this form. <br /> NOTA.RY FOR PERMIT APPLICATION <br /> ACKNOWLEDGED BY: <br /> Applicant: Green Acres Recycling,LLC Representative Name: Martin Lind <br /> Date: Avril 8,2022 Title: Manat�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 /> LAN qep,W b NN ara D. y ,Notary blic <br /> 91�t�of Coloredo <br /> N�»�y(p�►20044032091 <br /> �pptlphi�sio�Ex Ifes 0&09-2024 <br /> 2 <br /> 4/822:{Ltr Adj Prop Owner BLUE <br />