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CERTIFICATION <br /> The Applicant, Red Tierra Equities, L.L.C. (print applicant/company name), <br /> by Robert Lembke (print representative's name), as Manager (print <br /> representative's title),does hereby certify that CENTRAL WELD COUNTY WATER DISTRICT (structure owner) shall <br /> be compensated for any damage from the proposed mining operation to the above listed structure(s) <br /> located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br /> Permit Application for Section 20 Gravel Mine (operation name), <br /> File Number M-2022-001 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br /> the Colorado Mined Land Reclamation Act for Hard Rock,Metal, and Designated Mining Operations <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNO GED <br /> Applicant epresentative Name T013 <br /> ej <br /> Date t �" �2- TitleA�(J�¢�ti <br /> STATE OF C"nI QYQ Clo ) <br /> )SS. <br /> COUNTY OFAYomriw } <br /> The foregoing was acknowledged before me this 2-P day of I—rebYu Gn.-{ ,20 L Z by <br /> gohelrt; Lemt)Vf as (Ylan a 1?, of K0dTt e.-j'VQ �;Q k A I <br /> My Commission Expires: <br /> Notary Public <br /> VARY SATE <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20204035076 <br /> My CommMion :October 07.2024 <br />