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CERTIFICATION <br /> The Applicant, Amrize West Central Inc., by Kevin Peart, as Senior Vice President, does hereby <br /> certify that the Xcel Energy, Inc. shall be compensated for any damage from the mining operation <br /> to the above listed structure(s) located on or within 200 feet of the proposed affected area <br /> described within Exhibit A, of the Reclamation Permit Application for Morrison Quarry, File <br /> Number M-1973-021. <br /> This form has been approved by the Colorado Mined Land Reclamation Board <br /> pursuant to its authority under the Colorado Land Reclamation Act for the <br /> Extraction of Construction Materials and the Colorado Mined Land Reclamation <br /> Act for Hard Rock, Metal, and Designated Mining Operations. Any alteration or <br /> modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: /CZ - <br /> Applicant _ Representative Name )C.Q V e&r <br /> I� <br /> Date Sd (1 i 12 C Title t1 i w- V I U. P-QS ct 4- <br /> STATE OF C,tD 1Uy C<cd O ) <br /> ss. <br /> COUNTY OFJ Q crs ) <br /> The -e foregoinA was acknowledged before me this IL{ day of MAT.S� , 20c)5 by <br /> V Y} VCox r as Stn i w PraS�c r* of AYYN <br /> \Ail, t Cul"' My Commission Expires: ID I a q <br /> Notary Public <br /> SARAH GREGA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO NOTARY FOR STRUCTURE OWNER <br /> NOTARY ID 20174007757 <br /> frgp E (jRffsFEBRUARY 21,2029 <br /> Structure Owner Name <br /> Date Title <br /> STATE OF <br /> ss. <br /> COUNTY OF__-__ <br /> The foregoing was acknowledged before me this day of , 20 , by <br /> as of <br /> My Commission Expires: <br /> Notary Public <br /> 212 <br />