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Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements <br /> of the following terms and conditions: <br /> 1. To the best of my knowledge,all significant,valuable and permanent man-made structure(s)in existence at the time this <br /> 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.RS.). <br /> 2. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32.5-115(4)(0, <br /> 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. I understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.RS. <br /> f <br /> Signed and dated this .thirtieth day of October, 2001 , <br /> MONTROSE COUNTY 'If Corporation Attest(Seal) <br /> Applicant/Operator or Company Name <br /> Sign Signed: j cry. <br /> Brian W. Wilson, P.E. <br /> County 'engineer, County Road Supervisor <br /> Title: -- TbVft�/t2lCoitnty Clerk <br /> C <br /> f 0,) Q1 , <br /> State of COLOR.ADO � <br /> )ss <br /> County of MONTROSE ) <br /> The foregoing instrument was acknowledged before me this THIRTIRTAday of October 2001 , <br /> by Brian V. Wilson as County Engr/ Rd Supervisorof Montrose County <br /> •, 1,, „• 1,y <br /> Notary Public <br /> My Commission expires: <br /> SIGNATUP:ES MbST BE IN BLUE INK <br />