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. 8 - <br /> Certification <br /> As an authorized representative of the applicant, I hereby certify that the operation descnbed has met the muumum <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) ui 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 1S-8.503. C.R.S. <br /> This form has been approved b►'the Mined Land Reclamation Board pursuant to section 34-32.S-112,C.RS.. 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.S-123, C.RS. <br /> Signed and dated this 15th day of November 2024 <br /> Smith's Materials, LLC If Corporation Attest(Seal) <br /> ApplicantOperator or Company Name <br /> Signed: Nathan A. Barton, CE, PE, DEE Signed: <br /> Corporate Secretary or Equivalent <br /> Title: Environmental and Perm tong Compliant.Enginter Town'CityiCounty Clerk <br /> State of South Dakota ) <br /> ) ss <br /> County of Pennington ) <br /> The foregoing instnunent was acknowledged before me this 15th day of November 2024 . <br /> by Nathan A. Barton as Authorized Agent of Smith's Materials, LLC. <br /> .114414144•NN.NlN.N1.Ni.. <br /> a lit BOitAH A BARTON 15. <br /> tlr `.i _r yti.__. . <br /> CO NOTARY Pull IC 01 <br /> ••+t�' /iz <br /> b. <br /> .y stair win oaKota � Notary Public Deborah A. Barton <br /> ..N...NN..N.NN�...N.�.N <br /> My C'ouuuission expires 12 December 2025 <br /> SIGNATURES MUST BE IN BLUE LNh <br />