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CERTIFICATION <br /> The Applicant, Mid-States Materials, LLC (print applicant/company name), <br /> by Cole Anderson (print representative's name), as Senior Vice-President (print <br /> representative's title), does hereby certify that Arkansas Valley 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 Ordway Pit (operation name), <br /> File Number M-2006-054 <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 A- Am-Es /HATER/ALSO LLC. Representative Name Cott At/eE'sEd <br /> Date Au4us? ,22"° ,20.2 Title _(F.AiDQ tcc 40/6E <br /> STATE OF 4/ 16n-S ) <br /> ss. <br /> COUNTY OF ) <br /> )he foregoing was acknowledged before me thisap2 day of , 20p1,1, by <br /> (.D12/ trkrstr) assenceV/CQ. fees.d&i4- of d-sTA-zfs M /e'iotl. lSO- 11:61 - yn,. <br /> My Commission Expires: Cp/(98/aoa 7 <br /> Notary Public <br /> I V:icrie Slaughter <br /> NOTARY PUBLIC <br /> STA1 F OF KANSAS <br />