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CERTIFICATION <br /> The Applicant, Western Slope Materials LLC represented by Sean Mello, as Vice President of <br /> Operations, does hereby certify that Colorado Department of Transportation shall be <br /> compensated for any damage from the proposed mining operation to the above listed <br /> structure(s) located on or within 200 feet of the proposed affected area described within <br /> Exhibit A, of the Colorado Mined Land Reclamation Board Reclamation Permit Application <br /> for the Rifle Gravel Pit#1. <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its authority under <br /> the Colorado Land Reclamation Act for the Extraction of Construction Materials and the Colorado Mined Land <br /> Reclamation Act for Hard Rock,Metal, and Designated Mining Operations.Any alteration or modification to <br /> this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Wcs-re .4.Ni 5c.iPc r,.Aire fa.Ag-s ..C- <br /> Representative Name Se a. <br /> Date 1 2- 1 ( ( z `i- Title Ite-t Pn.gi,od-^3 r e F OPC1t1o. ."1 S <br /> STATE OF C a 10/ p ) <br /> - ) ss. <br /> COUNTY OF 6�'ar4QQ e,lS ) <br /> The foregoing was acknowledged before me this /6 day of Decet• e-r , 20L y, by <br /> ,Sea., rI e_l(o as 1/. // - S 2 pG 1 k <br /> • 61' On��ur�s Of �ve-S Sr'-..' a <br /> `" My Commission Expires: d!. Z 7/Z lj <br /> Notary Public <br /> TIMOTHY OLK <br /> NOTARY PUBLIC <br /> S 'TE 0i7 COLOPADO <br /> NOTARY ID 20164038408 <br /> CO?vi+SISSION EXPIRES JANUARY 27,2029 <br /> 2 <br />