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~ECE?VED ~ ~ <br />DEC 2 ~ 2000 <br />C~py{~Ai„erels and Geolo9Y <br />~~ III IIIIIIIIIIIIIIII <br />-' - ~ECEI VED <br />DEC 0 81000 <br />As an authorized representative of the applicant, I hereby certify that the operation d bed has met the minimum requirements <br />of the Following teens and conditions: ~sion of Minerals and Geology <br />1. To the best of my knowledge, all significant, valuable and permanent man-[Wade structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5- l l ~(4)(e), C. RS.). <br />2. No mining operation will be located oa lands where such operations are prohibited by law (Section 34-325-I l~(4)(f), <br />C.RS.; <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 (Section <br />3d-325-I20, C.RS.) as dete^nirted through a Board finding. _ _ __ <br />4. [understand that statements in cite application are being made under penalty of perjttty and that false statemenu made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. <br />r [ <br />Signed and dated this . h(~~ day of ]~N/! ern CJ~ ~-OOd <br />~~FD ~ /fey <br />~ S i oNC ~.,. ~N~ <br />~AppGcant/Operator or Company Name <br />Signed: ~.,~~'~%~~ <br />Title: Cn - n W A/C ~. <br />State of <br />-` , ~ ) ss <br />L`' Corporatibu Attest (Sea!) <br />Signed: <br />Co rate Secretary of Equivalent <br />Town/City/County Clerk <br />ounty o ) `~~ <br />The for going instrun// t was acknowledged before a this Y-D-day of , <br />' _ _ <br />r <br />i <br />N Public - <br />My Commission expir2s:'~~' <br />SIGNATURES MUST BE IN BLUE INK <br />