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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 Senior Vice President (print <br /> representative's title), does hereby certify that Terra Energy Partners, 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 N 1---... <br /> Date c.'12.‘"Z7 Title Senior Vice President <br /> STATE OF Colorado ) <br /> ) ss. <br /> COUNTY OF Arapahoe ) <br /> The foregoing was acknowledged before me thiaztday of , , , 20-2,q by <br /> Jr) f) 4mt_psn t. as 641 n,il )1,-(.2 p rt?s,dock of b.) , C L r$' © , . <br /> 1 !a <br /> ere My Commission Expires: •-/ A fiLy <br /> Notar Public') <br /> MITZI REECE <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20184011940 <br /> My Commission Expires 05-09-2026 <br />