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-5 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made structure (s) located within two hundred <br />(200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage <br />to the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), 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 />2. No mining operation will be located on lands where such operations are <br />prohibited by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended); <br />3. As the applicant/operator,.1 do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through <br />a Board finding. <br />4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />Signed and dated this A O � day of <br />Fremont Paving & Redi—Mix, Inc. <br />State of <br />) ss <br />County of _2 _ _ ) <br />r <br />If Corporation Attest <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged* before me this o Ott day <br />by as <br />2MF <br />(10/14194) <br />of 1 Icy <br />N6t aryy Public <br />My Commission expires: <br />