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-8- <br />!�, <br />As an authorized representative of the applicant, ) 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 <br />this application is filed, and located within 200 feet of the proposed affoacd area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No raining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.5-10(4xf), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Rcctaation Act for the Extraction of Construction Materials <br />(Section 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 <br />made heroin are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />This Joan hat been approved by rhs Mixed Land Redauradon Board pursuaw to serdon 34-3Z$-I1AGRS, ofrhe Calorado Land <br />RedamatlonAdforfheP.xtracdonofCaastrucdomMaferlalk Any aflerarknorarod#kadmoflhlsforashaArea*lrvoMingany <br />permh Lusted on dhe altered or modOled farm and subject Ike operator to cease and des& orders and cfvfl ps phfa for open dnZ <br />without a permhpursuanl to section 34-315--123, CRS.. - <br />Signedand dated this_ Q day of fie. <br />Ca— f•.,n�r14o, If Corporation Attest (Seal) , <br />Applicant/Operator or Company Name-�— 1 <br />Signed: <br />Title: N Mq f'ti sm4s i <br />State of h1_t11iD1 S _ ) <br />,g <br />County of _look <br />The foregoing instrument was acknowledged befon <br />by . I SY as <br />- IM <br />07mo �M <br />Town/City/County Clerk <br />this day of _&AW UAX Y <br />of&vxl rpt,_ "RIAIs Lulea <br />Notary Public <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />