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t <br /> CERTIFICATION <br /> The Applicant,Asphalt Specialties Co., Inc.by Daniel W.Hunt, as President, does hereby certify <br /> that the Xcel Energy(structure owner) shall be compensated for any damage from the proposed <br /> mining operation to the above listed structure(s)located on or within 200 feet of the proposed <br /> affected area described within Exhibit A,of the Reclamation Permit Application for File number <br /> M 2021-067,the Stiles Mining Resource. <br /> This form has been approved by the Colorado Mined Land Reclamation Board <br /> pursuant to its authority under the Colorado Land Reclamation Act for the Extraction of <br /> Construction Materials and the Colorado Mined Land Reclamation Act for Hard Rock,Metal, <br /> and Designated Mining Operations.Any alteration or modification to this form shall result in <br /> voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Applicant: Asphalt Specialties Co.,Inc. Representative Name: Daniel W. Hunt <br /> Date: t 12�Z� Title: President <br /> STATE OF Colorado ) <br /> ) ss. <br /> COUNTY OF Adams 1 <br /> The foregoing was acknowledged before me this day of�o yawtl,e , 20 ';by <br /> Daniel W. Hunt as President of Asphalt Specialties Co. Inc. <br /> My Commission Expires:d z9. god y . <br /> No Public <br /> JAN NELSON <br /> NOTARY PUBLIC <br /> STATE OF COLOAADO <br /> NOTARY ID 19994030527 <br /> My C ntnission Expires April 29.2024 <br /> H:\Pits HBP Plants\EVANS\Stiles Mining Resource\Exh S-Permanent Manmade StiucturesU etter Stricture Agreement Xcel UTIL UYAnc <br />