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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 Box Elder Ditch Company (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-1999-050 . <br /> This form has been approved by the Colorado Mined Land Reclaunation 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 ntodiffcation to this farm shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Connell Resources,Inc. Representative Signature ..,____ <br /> Date 6 /2/,' Titleg-,,s-/- /Z—Vi" <br /> STATE OF/ <br /> s <br /> COUNTY OF ) <br /> Smirsack owledge fore the i�, ay of <br /> as �( Q of YZt ((LC. <br /> �My Commission Expires: �,�- ,�� <br /> Publi <br /> JENNIFER LINDBLAD <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20144008302 <br /> My Commission Expires 02-21-2026 <br /> 0 <br />