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CERTIFICATION <br /> The Applicant, Connell Resources, Inc. (print applicant/company name), <br /> by John Warren (print representative's name), as President (print <br /> representative's title), does hereby certify that Haralson,Joseph E and Julie J (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 Timnath Connell Pit amendment (operation name), <br /> File Number M-1 999-050 . <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 firm shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Connell Resources, Inc. Representative Signature <br /> Date 9/2/1 Title 1 i'ef/4 7' <br /> STATE OF CAovoD) <br /> COUNTY OF <br /> T f re of • s k o edgedplfi?ge t isl ay of +�G( 0 1 b �5as o of 1 <br /> My Commission Expires: O ' ' 7-b(Ao <br /> Notary Public <br /> JENNIFER LINDBLAD <br /> Notary Public <br /> State of Colorado <br /> Notary ID*20144008302 <br /> My Commission Expires 02-21-2026 <br /> ?�3 <br />