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CERTIFICATION <br /> The Applicant, FAFO Holdings LLC (print applicant/company name), <br /> by Sturges Karban (print representative's name),as Chief Executive Officer (print <br /> representative's title),does hereby certify that Ouray County (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 Revenue Mine (operation name), <br /> File Number M-2012-032 <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 /> FAFO Holdings LLC S,44P-rs k;t' 6` -W-1 <br /> Applicant Representative Name <br /> Date 10/27/2023 Title Chief Executive Officer <br /> STATE OF Texas ) <br /> ) ss. <br /> COUNTY OF Kendall ) <br /> The foregoing was acknowledged before me this 27thday of October ,2023 by <br /> CHRISTOPHER SCOTT PAYNE as Notary Public. of State of Texas <br /> �ry M Commission Expires: 04/28/2027 <br /> y P <br /> Notary Public Notarized online using audio-video communication <br /> CHf11STOPNER SCOTT PIIVNE <br /> s A;w� y ID NUMBER <br /> t T69058t-) <br /> %��!�! '+�\ COMMISSION EXRIRES <br /> /%/y�N/ry/IIIiPn\C\ yM].m1% <br />