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<br />Certification: <br /> <br />-~- <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application ie filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C. R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (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 <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Hateriale (Section 34-32.5-120, C.R.S.) <br />ae determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-6-503, C.R.S. <br />Signed and dated this 10th day of JULY 1997 <br />STONE GRAVEL PIT <br />A 'cant/Operato <br />Signed. Gl.~!-sti <br />DAREN STONE <br />Title: PROPRIETOR <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of COLORADO ) <br />ss <br />county ofMONTEZUMA ) <br />The foregoing instrument was acknowledged before me this ~O~ day of <br />NOTARY SEAL: <br />JULY <br />1997, <br />by DAREN STONE as PROPRIETOR of STONE GRAVEL PIT <br />O]/0?/96 ffi23FC0.112 <br />/-cam ~.XAI k. <br />Notar}• Public <br />~~y~~~~l~y~________ (TYPE NAME) <br />Hy Commission expires: ~ \~ <br />~V~L'D_ ~-~----___-- (ADDRESS) <br />(Street) <br />_~~ _~4_ _g~ _at <br />(City) ~ (State) (Zip) <br />__7__ <br />r, <br />