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CERTIFICATION <br /> The Applicant, Amrize West Central Inc., by Kevin Peart, as Senior Vice President, does hereby <br /> certify that Comcast Business 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 /> AC GcDCBY: kW i� Pea r <br /> Applicantlicant j -�{ �-.� Representative Name <br /> Date Title !'\' In V r C,Q Pra5;4 <br /> STATE OF anitNacto ) <br /> )ss. <br /> COUNTY OFe r5t'r1 ) <br /> The foregoin was acknowledge before me this I \ day of 1,-(.-l.�uSt , 20a S, by <br /> `l�0tY� ���.� [ k as(�w U101 ProS tAni- of . r r?.e <br /> UIJr�� J1- My Commission Expires: a /3 1 J <br /> Notary Public <br /> SARAH GREGA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO OTARY FOR STRUCTURE OWNER <br /> 201740 <br /> NOTARY ID 20174007757 <br /> MY COMMISSION EXPIRES FEBRUARY 21.2029 <br /> AC <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 /> 2/2 <br />