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CERTIFICATION <br /> The Applicant, IHC""Scott, Inc. (print applicant/company name), <br /> by T� 1� (print representative's name), as y CC `7 X51- '—(Print <br /> representative's title), does hereby certify that Land Hunter Group, LLC (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 Collett Property Borrow Area (operation name), <br /> File Number M-?oil- oo. <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 IHC Scott, Inc. Representative Name Two t1�1 1 ��T <br /> Date ( (��Lt)z 3 Title U i a re Sl A 4— <br /> STATE STATE OF C°�ar.-dt_J ) <br /> ss. <br /> COUNTY OF �) ` <br /> The foregoi was acknowledged before me this day of va"" , 2023, by <br /> as if 1(c P� of 1HC Scott,Inc. <br /> My Commission Expires: <br /> tary Pu Ic <br /> TZI REECENotary PublicEM-1 <br /> tate of Colorado <br /> y ID420184011940 <br /> ssion Ex ires 05-09-2026 <br />