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CERTIFICATION <br /> Rollins Construction and Trucking <br /> The Applicant, (print applicant/company name), <br /> by Richard Kelly Rollins (print representative's name), as Owner (print <br /> representative's title),does hereby certify that Eastern Colorado Land, 1-LC-(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 Schmidt Gravel Pit (operation name), <br /> Pile Number M-2000- 048, <br /> This foritt has been approved by the Colorado Mated Land Reclamation Board pursuant to its <br /> authorit},under tite Colorado Land Reclamation Act for the Extraction of Construction Alaterials and <br /> the Colorado Mitred Land Reclamation Act for Hard Rock, Metal, and Designated Miniag 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 Rollins Construction and Trucking Representative Nam , <br /> Date 1-5-2026 Titl Owner <br /> STATE OF Utah WMCYL <br /> COUNTY OFBeaverr <br /> i <br /> i The fore oingg was acknowledged before me this5th day of January 2026 by <br /> RichardgKelTy Rollins as Owner of Rollins Cons <br /> ructiQn and Trucking <br /> i <br /> i <br /> f! My Commission Expires: /t 661/X <br /> f Notary Public <br /> r <br /> f! <br /> I <br />