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CERTIFICATION <br /> The applicant, Oldcastle SW Group, Inc. , represented by Rich Umbel <br /> as, President , does herby certify that the Brighton Ditch Company (structure owner) <br /> shall be compensated for any damage from the proposed mining operation to the above listed <br /> structure(s), if any exist at the time of mining and are located on or within 200 feet of the <br /> proposed affected area described within the Reclamation Permit for Wattenburg West, File <br /> Number M-2005-066. <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 /> ACKNOWLEDGED BY: (Signature of Officer) <br /> Applicant nOldcastle SW Group, Inc. Representative Name: Rich Umbel <br /> Date: Title: President <br /> STATE OF I ) <br /> COUNTY OF I d L ) <br /> The foregoing was acknowledged before me this )I day of,, , 201 , by <br /> / _�( Ji as CL(&I of �i�Ct(G�.¢, ��rcUP <br /> -dam <br /> My Commission Expires: HEIDI R.VEACH <br /> Notary Public fission Number 199 <br /> Y My Commission Expires <br /> + January 14, 2024 <br />