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- 7 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my)mowledge, all significant, valuable and permanent man-made structure(s) inexistence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), C.R.S.; <br />3. As the applicantloperator, I do not have any extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4. 1 understand that statements in the application are being made under penalty of pedury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section 18-9-503, C.R.S. <br />Signed and dated this day of �"A A-0, <-- 14 <br />A,6,6 LA 5 —1 R I , V\J <br />Appl" t/Operator.Qr any Name <br />S ed: <br />i ZI — <br />Title: <br />State of zkuole� <br />County of V-2/2 )ss <br />EWC - If Corporation <br />Sigfted: <br />10. <br />The foregoing instrmnent was actmowledged. before me this ZL a4l day of 07.et&4 <br />by (4- as of <br />M.V4WaDCNMUffORMSX2823CO12,APP 10117/01 <br />. Zr; <br />7-.% -'-' <br />Notary Public <br />My Commission expires: OS - <br />SIGNATURES MUST BE IN BLUE IINK <br />