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CERTIFICATION <br />The Applicant, ACA Products, Inc. (print applicant/company name), <br />by Blake Bennetts (print representative's name), as Sales & Development Manager (print <br />representative's title), does hereby certify that Town Of Buena Vista (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 ACA Products, Inc. (operation name), <br />File Number M-1979- 010 <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 />ACKNOWLEGED BY: <br />Applicant ACA Representative Name ��A-kE <br />Date Title S✓4LLS 9- PL!/CZoP/rlcJVi <br />STATE OF 00�,OrGap ) <br />) ss. <br />COUNTY OF CVQWW ) <br />The foregoing was acknowledged before me this (5- day of , 20 2z , by <br />9�04e ne6 as Sg1eS d elonrneni of roc%ac -rry <br />ar� <br />My Commission Expires: 40 ne , Zdz3 <br />Notary <br />BETTY CRITES <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY 10: 19954006312 <br />MY COMMISSION EXPIRES: APRIL 28, 2023 <br />