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CERTIFICATION <br /> The Applicant, J-2 Contracting Company (print applicant/company name), <br /> by Chris Leone (print representative's name),as President (print <br /> representative's title),does hereby certify that Farmers Independent Ditch Company(structure owner) shall <br /> i <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 /> Pond i Irration <br /> Permit Application for Hunt g (operation name), <br /> File Number M- - <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 J-2 Contracting Company Representative Name Chris Leone Z,4�� <br /> Date Title President <br /> STATE OF Lo 0 ) <br /> ) ss. <br /> COUNTY O4 ) <br /> The foregoing was acknowledged before me this day o 61Z v ,20d-?,�,,by <br /> Co Chris Leone as President O J-2 ntra ng Company <br /> My Commission Expires:zz/�4/�f/,/2 <br /> T:MyC0Mr4 <br /> b oTARY PustlMA <br /> lc <br /> STATE OF COLORADO <br /> OTARY ID 20094008717MISSION EXPIRES MARCH 12,2025 <br />