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,- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />1. To the best of my lmowledge, all significant, valuable and permanent man-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4xe), C.RS.). <br />2. No mining operation vrill be locatedon lands where such operations-are prohibited by law (Section 34-32.5-115(4)(f), <br />C.RS.; <br />3. As the applicant/operator, I do not have any exiraction/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 (Section <br />34-32.5-120, C.RS.) 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 made <br />herein are punishable as a Class 1 or gursuant to Section 18-8-503, C.RS. <br />Signed and date$ this ~~ day of k r 2~~ <br />Hall-Irwin Corporation <br />ApplicandQperator or company Name <br />Signed: <br />If Corporation Attest (Seal) <br />Signed: ~C~~G'NP llc----• <br />Corporate Secretary or Equivalent <br />Title: <br />State of ~(J~o//1t~0 ) <br />ss <br />County of ~~~ ) <br />Town/City/County Cleik <br />The fo~oing instrument was aclmowledged be~fo7re me this ~ day of ~~no~nb~~ g~~74°~ , <br />by _as KoS~Ur~P~ /~ll{%110~~' of l~~- rlVin ~,oroor~~ii~s., <br />,.~".~tERg ''~,, <br />Q P. ,.........O,y ,o <br />°Q t O O~.?g Pub is <br />=_m:2~ Q° <br />~ ~_ <br />'~ C?' ~ My Commission expues: ~~ ~ `~~ <br />SIGNATURES MUST BE IN BLUE INK <br />Page 8 of 35 <br />