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-6- <br /> Certification• <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of <br /> the following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Section 34-32.5-111(1)(a)(IX)); <br /> 2. This entire mining operation will not affect more than 30 acres; <br /> 3. This mining operation will not adversely affect the stability of any significant,valuable and permanent man-made <br /> structure(s)located within two hundred(200)feet of the affected lands. (However,where there is an agreement between <br /> the applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated <br /> for by the applicant/operator(Section 34-32.5-115(4)(e),C.R.S.1984,as amended),then mining may occur within 200 feet. <br /> Proof of an agreement must be submitted to the Office prior to the decision date.) <br /> 4. No mining operation will be located on lands where such operations are prohibited by law <br /> (Section 34-32.5-115(4)(0,C.R.S. 1984,as amended); <br /> 5. As the applicant/operator,I do not have any mining/exploration operations in this state of Colorado currently in <br /> violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br /> (Section 34-32.5-120,C.R.S. 1984,as amended)as determined through a Board finding. <br /> 6. I understand that statements in the application are being made under penalty of perjury and that false statements <br /> made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S. 1984,as amended. <br /> This form has been approved by the Mined Land Reclamation Boardpursuant to section 34-32.5-111,C.R.S.,of the Colorado <br /> Land Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of thisform shall result in <br /> voiding any permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties <br /> for operating without a permitpursuant to"section 34-32.5-123, C.R.S. <br /> Signed and dated this M}I" day of Y��czYcL, <br /> Ames Construction, Inc. If Corporation Attest(Seal) <br /> pl c e ato <br /> By: By:4996?!�7—:: <br /> Senior Vice President Corporate Secretary or Equkalent <br /> Title. Town/City/County6Ak <br /> State of Loln(Z.AC�3 ) <br /> ss. <br /> County of 'A(JA VY15 ) <br /> The foregoing instrument was acknowledged before me this day of MO.AC� QC\g <br /> nn \r <br /> by�bec��_ lam;i\1 S as ;Se_n'ac y V� of'Rme_S &nsr41-CT btb k�NC. <br /> CATHERINE ANN HARRISONoa_kx2t � <br /> NOTARY PUBLIC Notary Public <br /> STATE OF COLORADO <br /> NOTARY ID 19974014716 p <br /> My Commission expires: g I a 1'0Q0 Q.` <br /> My Commission Expires August 21,2021 <br /> SIGNATURES MUST BE IN BLUE INK <br />