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DocuSign Envelope ID:F5FEFA7E-D4DF-4E04-810B-48359F910E7A <br /> CERTIFICATION <br /> The applicant, Oldcastle SW Group. Inc. ,represented by Rich Um be <br /> as, PLsident ,does herby certify that Western Midstream (re:Kerr McGee Gathering, <br /> LLC),(pipelines/structure owner)shall be compensated for any damage from the proposed <br /> mining operation to the above listed structure(s), if any exist at the time of mining and are <br /> located on or within 200 feet of the proposed affected area described within the Reclamation <br /> Permit for Wattenburg West,File 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&traction of Construction Materials and the Colorado Mined Land <br /> Reclamation Actfor 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___Qldcastle SW Group. Inc. Representative Name: Rich Umbel <br /> Date: �/� �2c�2 Z Title: President <br /> STATE OF bkIXG--A1> ) <br /> )ss. <br /> COUNTY OF 3Sp rn ) <br /> aM <br /> The foregoing was acknowledged before me this day of, lA.ltit' ,20 l2,by <br /> as At,),+ of <br /> f <br /> p My Commission Expires: 01 I i3-1 a0a3 <br /> Notary Public <br /> TERESE VIRGINIA LOMBARD <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20194005945 <br /> My Commission Expires 02-12-2023 <br />