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CERTIFICATION <br /> The applicant, Oldcastle SW Group, Inc. , represented by Rich Umbel <br /> as, President , does herby certify that the City of Aurora, CO (structure owner) shall <br /> 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 /> ( g ) <br /> Applicant Oldcastle SW Group, Inc. Representative Name: Rich Umbel <br /> Date: G�g Zz) Z 2 Title: President <br /> STATE OF <br /> )ss. <br /> COUNTY OF :S On ) <br /> The foregoing was acknowledged before me this day ofaujY)PJ, 2022, by Rich Umbel as <br /> President of Oldcastle SW Group. <br /> y Commission Expires: a- a02-3 <br /> otary Public <br /> E <br /> RESE VIRGINIA LOMBARDNotary PublicState of ColoradoNotary ID#20194005945Commission Ex Tres 02-12-2023 <br />