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CERTIFICATION <br />The Applicant, RIVERSIDE AGGREGATES, LLC (print applicant/company name), <br />by RUDY TORRES (print representative's name), as OWNER (print <br />representative's title), does hereby certify that ARBOR "b1TeN ZATE tAL(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 SHARP PIT # 2 (operation name), <br />File Number M- 2013 023 <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 modficahon to this form shall result in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: <br />Applicant ill U MS 1 b e, %� GG, pF �Afia:S, Representative Nariie e p V TD R R E s <br />Date A44Y 10, .1013 Title AltR <br />STATE OF �01-0o2t4 w <br />ss. <br />COUNTY OF -B "T ) <br />The foregoing was acknowledged before me this2 -day of {�A , 20, by <br />-RU Y UX-.e -Es as of tai uegsiof_ ��or'egaf <br />Gcc� My Commission Expires: <br />Notary Public <br />VICKI A. MORGAN <br />Notary Public <br />State of Colorado <br />