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CERTIFICATION <br /> Fremont Pavingand Redi Mix, Inc. <br /> I he Applicant. Fremont ----- (1'rtttt <tpplieant,comhanname). <br /> h„ John P. Ary (print representative's name). a,President (print <br /> rcpre,entati\e', title). does hereN certil'\ that Linda Scholtz (strueture owner) ,hall <br /> he compensated tot an damage from the proposed mining operation to the aho e listed structure(,) <br /> located on 01 \\Ithin 'OO let of the pi oposed affected area described within Lxhrhtt .1, of the Reclamation <br /> Penitis .\phlication ti,i. Two Rivers Pit (operation name). <br /> I ilc \umber \1-1998.038 <br /> This-form has been approved hr the Colorado Mined Lune/Reclamation Board pursuant to its <br /> authority lnn/cr the ('ulorudo Land Reclamation.lot jOr the Extraction of Construction Materials and <br /> the ( olorado %lined Land Reclamation.tet for shirr!Rod', ,Metol, and Designated Mining Operations. <br /> Inv alteration or modification to this for,,, shall result in voiding this form. <br /> NO I kin FOR I'ER.ITI't' 1.I'I'LICANT <br /> \\\,. k'\t ,\t i ! ( ;-..\'1\.) I I \ <br /> \ITIR .irrt t` � c--t -< <br /> rtlepiesentati\e Name _ .jQhm---P, t� <br /> � ' <br /> I >,ttt. ldf e�.SL IdOo23 ✓"' I itl;: --Prui <br /> H \ i1 tr e01.1) <br /> ttti °\, I ', t )1 -P _tn <br /> i l-� . '��'i c . .' <br /> .wt..: ,i_I n,o\\ fenced IL i„rc 111C tht,a.S \ t,I 1bL42003. h� <br /> ...IQhvt . -.P. 4v1,1 ,rr.Zidl `'t -{fy aett4 4 etP4 n't lilt, <br /> ._.__,.. Irli' _ _ k__,_ _ \1., ( iqntrttis:,i,!it ! \pirc,: JO / 4 ['e�(e <br /> ,-iA,tr, I=r:t,li, <br /> ''` t, ,_ .i,-.i ,i r i 7)42 <br /> ¶ES..A1i'Ef - - 202) <br />