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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 Petroleum Development Corp(structure owner) shall <br /> be compensated for any damage from the proposed mining operation to the above listed structure(s) <br /> i located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br /> Permit Application for Hunt Irrigation Pond (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 <br /> Date Z Title President <br /> STATE 06 <br /> )ss. <br /> COUNTY O ) <br /> Ir-- <br /> The foregoing was acknowledged before me this day o ,20by <br /> Chris Leone as President of J-2 Contracting Company <br /> My Commission Expire . o sr <br /> =STTATE <br /> OL L SHIMA <br /> coioR/ioo <br /> F.XPlRE 7112,2025 <br />