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CERTIFICATION <br /> The Applicant. ARS Sand & Gravel Co. LLC (print applicant/company name), <br /> by Derek Garbed (print representative's name), as President (print <br /> representative's title), does hereby certify that Mountain view Electric Association,Inc(seven)(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 Elbert Sand & Gravel Pit (operation name), <br /> File Number M-1985- 129 <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 l 61" Representative Name ,J¢rtkr%Jth <br /> Date v?/o/'( 12-r Title clre4 i <br /> STATE OF Cotdc00 ) <br /> ) ss. <br /> COUNTY OFZecky ) <br /> The foregoing was acknowledged before me this L( day of , 20/5, by <br /> De-`re.k c o — as — c clesvk_ of Sxaraixk Co. LLC . <br /> My Commission Expires: OS _ 0(0 _ <br /> Not n Public <br /> ( SAGE MCLEMORE <br /> NOTARY MILK-STATE OF COLORADO I <br /> ( NOTARY ID 20161017577 <br /> t MY COMMISSION EXPIRES MAY 6,202S <br />