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-8 - <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 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 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 <br /> (Section 34-32.5-115(4)(f),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 Reclamation 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 herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-112,C.R.S., of the Colorado Land <br /> Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall result in voiding any <br /> permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating <br /> without a permit pursuant to section 34-32.5-123,C.R.S. <br /> Signed and dated this OS day of _1C,• ,02.5z•a,0 . <br /> Paul Ainsworth/Continental Materials Corporation <br /> If Corporation Attest(Seal) <br /> Applicant/Operator or Company Name <br /> Signed:CA Signed: <br /> Corporate Secretary or Equivalent <br /> Title: Chief Financial Officer Town/City/County Clerk <br /> State of niL3' ) <br /> )ss. <br /> County of COOL ) <br /> The foregoing instrument was acknowledged before me this k-n day of <br /> 940,by AlAC .,5 y"1/` as CAlmz of Co\k-k;n-I-Awk tha -rtwL ( oc ho/ <br /> Official Seal 12-01/ <br /> Kevin J.O'Keefe <br /> Notary Public State of Illinois Notary Public <br /> My Commission Expires 07/31/2022 <br /> My Commission expires: h( 1° d-3' <br /> SIGNATURES MUST BE IN BLUE INK <br /> You must post sufficient Notices at the location of the proposed mine site to clearly identify the site as the location of a <br />