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-6- <br /> CertiSeatloe <br /> As an authorized representative of the applicant,I hereby certify that the-operation described hasmet 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(lxaXI i)); <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 perrmentman-made <br /> structure(s)located within two hundred(200)feet of the affected lands. (However,where there is an agreement between <br /> the applicantloperator 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(4xe),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)(f),C.R.S. 1984,as amended); <br /> 5. As the applicantloperator,I do not have any n*ag/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 Board pursuant to section 34-32.5-111,C—R.&,of the Colorado <br /> Land Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall result in <br /> voiding any permit issued on the alleratarn"fied form and subject the operator to cease anddesist orders and civil penalties <br /> for operating without a permit pursuant to section 34-32.5-123,CKS. <br /> Signed and dated this 4th day of January 2022 ��`�S ....... <br /> • `off <br /> SEMA Construction, Inc. �� g �� <br /> If Corporation Attests ) l J _ <br /> Applicant/Operator <br /> • O <br /> By: By: ••• �,. <br /> Co Secretar}�bF, •• <br /> Tit District Vice Pre ' ent own/City/County felrk' <br /> State of Colorado } <br /> ss. <br /> County of Arapahoe <br /> The foregoing instrument was acknowledged before me this 4th day o f January <br /> f <br /> by Mark W. Brooks as District Vice President of SEMA Construction, Inc. <br /> _ _F Y OUEMRO <br /> NOTARY PUKW <br /> STATE OF COLORADO Notary Public <br /> NOTARY ID 20124OPM83 0 2�l <br /> Novwnber��2024 My Commission expires: <br /> SIGNATURES MUST BE IN BLUE INK <br />