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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 CWH Properties 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 Timnath Connell Pit amendment (operation name), <br /> File Number M-1999-050 . <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 form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Connell Resources, Inc. Representative Signature <br /> Date SPi'Cr l ( 12 2.024 Title Gann V CL en, ` resl dent <br /> STATE OF CO[D (9 ) <br /> ss. <br /> COUNTY OF -ctrI'r-( ) <br /> The f�o^^regoing was acknowledged'Afore me this l� day of0Z4by <br /> 1 In ` 31I� () as ( i�es 1 Cl21'1-I- of C�X I C neS (n c_ <br /> My Commission Expires: 0, 0-A- -ro <br /> Notary Publia,' <br /> JENNIFER LINDBLAD <br /> Notary Public <br /> State of Colorado <br /> Notary ID#20144008302 <br /> My Commission Expires 02-21-2026 <br /> ��3 <br />