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CERTIFICATION <br /> The Applicant, W.W. Clyde&Co. (print applicant/company name), <br /> by John Thompson (print representative's name),as VP-Administration (print <br /> representative's title),does hereby certify that Rex Robinson Ranch 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 Rifle Gravel Pit#1 (operation name), <br /> File Number M- 2021- 052 . <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 W.W. Clyde & Co. Representative Name John Thompson <br /> Date 4/1/24 Title Senior Vice President <br /> STATE OF Colorado ) <br /> ) ss. <br /> COUNTY OF Arapahoe ) <br /> The foregoing was acknowledged before me this day of ,20 ,by <br /> as of <br /> My Commission Expires: <br /> Notary Public <br />