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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 Viola Frank (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 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 Title President <br /> STATE OF� ) <br /> ss. <br /> COUNTY OF / ) <br /> r <br /> The foregoing was acknowledged before me this/40� day of ,20 a, <br /> Chris Leone as President of J-2 Contracting Company <br /> v �s <br /> My Commission Expires: 02 car�� <br /> CAROL L SHIMA <br /> NOTARY OLORADO <br /> MY CO MMTbSION IRES MARCH 12,2 255 <br />