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CERTIFICATION <br /> The Applicant, MineWater LLC (applicant/company name),by Joseph G Harlington <br /> (representative's name), as Manager(representative's title), does hereby certify that Park County <br /> (structure owner) shall be compensated for any damage from the proposed mining operation to the <br /> above listed structure(s) located on or within 200 feet of the proposed affected area described within <br /> Exhibit A, of the Reclamation Permit Application for London Mine (operation name), File Number <br /> M-2023-015. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant <br /> to its authority under the Colorado Land Reclamation Act for the Extraction of Construction <br /> Materials and the Colorado Mined Land Reclamation Act for Hard Rock,Metal, and Designated <br /> Mining Operations.Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT <br /> APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Representative Name <br /> Date Title <br /> STATE OF COLORADO ) <br /> ) ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of , 2023 <br /> By as of <br /> My Commission Expires: <br /> Notary Public <br />