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-~- <br />Certification: <br />As an authorized representative of Ute applicant, I hereby certify that the operation described has met Ute minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and pemranentman-made structure(s) in existence at Ute 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.RS.). <br />2. No mining operation will be located on lands where such opemtons are prohibited by law <br />(Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the appficaaUoperator, I donor have any extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colomdo Iand Rechtmation Act for the Extraction of Construction Materials <br />(Section 34-32.5-120, C.RS.) as determined through a Board fording. <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 18-8-503, C.R.S. <br />77ib john has been appro9rd by the Mined Land Reclanratian Board panaau to sedlon 34-32.5-I12,GRS, ojUu Colorado Land <br />Reclamatlan Ad je the EabacNon ojConarndion Materials. Any aheroti'on ormodiJtcarion ojthis jam shaQresalt in voiding any <br />permft fssned on the ahead or modified jam and cabled the operate to ceau and deevt orders and dvII penahies ja opetatheg <br />withoat a perndt parsaant to section 34-3LI23, C.RS ~ . <br />Signed and Gated this 3 `-°/ Gay of O~ ,~[r cr . ~~a1~ ! ; =; <br />~. . ,~, <br />._'t •. ,_ <br />.:;. .,~ <br />EnCana Oil & Gas (USA), Inc. If Corporation Attest (Seal) i '~ ~'., ~'- ; -t ~ i <br />Applicant/Operator or Company Name ~ ~7 ~'-t : ,'mss,. <br />Signed: ~~ Sign <br />,Q a'~/~rr~~ ~ Hl4~ Corpora retary or Equivalent <br />Title: fy/Y~rAUr•.ri~•~~~ Town/City/County Clerk <br />State of GJ ~v i~ do ) <br />ss. <br />County of ~ ~, u e.(- ) <br />The foregoing instrument was acknowledged before me this ~r ~ day of ~ C~ ~ a~ <br />> by D~~ ~ %~ T- He^...r:~ as ~'{{oP~e~ - ,~~ - F-r~ of Encana 0iI & Gas (USA), Inc. <br />~~ '~ 6 ~ ~~ <br />o~ lazy Pub c <br />My Commis <br />JUDITH B. SISNEROS <br />SIGNATURES MUST BE 1N BLUE INK NOTARY PUBLIC <br />STATE OF COLORADO <br />M~4hrte\veCmwlCominctim 112.doc (07/262009) <br />My Commlulon Expim 03/17/2008 <br />