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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 Colorado Department of Transportation(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 ''77"'/ .1 <br /> ..----- <br /> Date 2_ 2 b- ?D. s Title Vice President, Construction <br /> STATE OF tA.-4A-L- ) <br /> ss. <br /> COUNTY OF -44J,— ) <br /> The foregoing was acknowledged before me this 2C. day of , 20 26-:by <br /> Mark Wimmer as Vice President, Construction of Sunroc rporation <br /> //1 ' My Commission Expires: /e,3/tom' <br /> N' ' C.t c , t/ <br /> N•., ANN-MARIE MOO <br /> NOTARY P <br /> STATE OF <br /> My Commies <br /> i EJuno,,.No: <br />