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CERTIFICATION <br /> The Applicant, Sunroc Corporation (print applicant/company name), <br /> by Mark Wimmer (print representative's name), as Vice President, Construction (print <br /> representative's title), does hereby certify that Colin Bush (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 20 Road Gravel Pit (operation name), <br /> File Number M-2005-061 <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 Sunroc Corporation Representative Name '/'i• <br /> Date 2-- G — 2).' Title Vice President, Construction <br /> STATE OF (A-AL -- ) <br /> ss. <br /> COUNTY OF 0- L ) <br /> The foregoing was acknowledged before me this day of , 20 2by <br /> Mark Wimmer as Vice President, Construction of SunroCt orporation . <br /> My Commission Expires: C,/Z 3/Z-U <br /> Not• ' c <br /> ANN-MARir FOOD <br /> �� NOTARY PU <br /> 6 ' STATE OF <br /> ti11 ' Con <br />