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CERTIFICATION <br /> The Applicant, Fremont Paving and Redi Mix, Inc. (print applicant/company name), <br /> by John P. Ary (print representative's name), as President (print <br /> Hi Kline Canal (structure owner) shall <br /> representative's title), does hereby certify that <br /> Highline <br /> 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 <br /> Two Rivers Pit (operation name), <br /> File Number M-1998-038 <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 /> ACKNOWLE i E l : <br /> ' / ,t/ <br /> Re resentative Name St.a <br /> Applicant ���! P <br /> • <br /> V <br /> Date !D! 31P3 - Title -QrökaeEe <br /> STATE OF l�p�ova ) <br /> ss. <br /> COUNTY O4106 ) <br /> The foregoing was acknowledgedrkefore me this 31tday of Q thtv „,20.1.. by <br /> Avvi as rC6i of rrwy - Yi 614 <br /> .. a, , My Commission Expires: /lit?k 13 <br /> Nota 'ub ic <br /> JODI A)SCHREIBER <br /> 11QT RY PUBUC <br /> 7.CO64001792 <br /> MY f.:(-AAMIVtIOM FX.PIR S 0,708ER 6,2026 <br />