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<br />- ~ - <br />Certification: <br /> <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 (Section <br />34-32.5-I l5(4)(f), C.R.S.; <br />3. As the applicanUoperator, 1 do not have any extraction exploration operations in the State of Colorado curtently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />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 ! 8-8-503, C.R.S. <br />Signed and dated this 28TH day of JUNE <br />ASPHALT CONSTRUCTORS, INC. <br />ApplicanUOperator or Company Name <br />Signed: ~~ <br />Title: PRESIDENT <br />State of COLORADO ) <br />ss <br />County of ALAMOSA ) <br />T <br />Clerk <br />The foregoing instrument was acknowledged before me this ~uTn day of JUNE 2001 , <br />by DOllG MCDONALD ~ PRESIDENT pf ASPHALT CONSTRUCTORS, INC. <br />,,,„~ d ~,n,,,...a <br />. <br />S ~ . ~= `> "•, <br />_ ~. v ~ - Notary Public <br /> <br />"~ jti .. ~.~.~My~Cotnmissionexpires: 9-~7-Z02i <br /> .. <br />•n,,;.... . ~,.a,c. <br />SIGNATURES MUST BE I N BLUE INK <br />2001 <br />~.T.~.,.,,. <br />If Corporation Rftc'~t~8eal)" . `+ <br />j~. - <br />J , ~. <br />Signed: <br />ptE Secret~ry'or <br />ovio~ <br />