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-8- <br />Certification: <br />As an authorized representative of the applicant, I hereby ceatify that the operation described has met the minimum regirirerrtetns of <br />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 this <br />application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation wilt be located on lands where such operations are prohibited by law <br />(Section 34-32.5-1 IS(4xf), C.RS.; <br />3. As the applicanUoperator, I do not have arty 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 <br />(Section 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 misdemeanor pursuant to Section I8-8-503, C.R.S. <br />This form has been approved by dre Mined Lord Reclamation Board pursuoM to section 3x32.5-112,ORS, ojthe Colorado Land <br />Rec/amadon Ad jor the F.x4adion ojCo»struesion MauriaLr. Any aCeraeion or modifaxroion ojthisjorm shall reau@ in voiding any <br />permit issued on Nre altered or nrodiJmdjorm and subject du operator to cease and desist orders and civil penaUiesjor opudwg niH+ord <br />o permit pwsuant to section 34-31.5-123, ORS <br />Signed and dated this 1 T"' day of FEBRUARY 2006 <br />McSTONE AGGRF.GILTF.3, LLC <br />ApplicanUOperator ~ Company Name <br />Signed: <br />AREN ST <br />If Corporation Attest (Seal) <br />Signed: ~ ~__[__ <br />Couporate Secre or Equivalent <br />Title: MANAGER <br />State of COLORADO ) <br />ss. <br />County of MONTEZUMA- }- .. -- <br />Town/City/County Clerk <br />KATHY STONE, CORPORATE SECRETARY <br />The foregoing instrumetrt was acknowledged before me this 17r" day of FEBRUARY 2006 <br />by DAREN STONE as MANAGER of McSTONE AGGREt~'~'ES. LLC. <br />Notary public ,^ ~~"~"~_ ~~~~%'~-2` <br />FEB Z 1 1006 : ~~; ~ ~ j;'``° `~~~ <br />My Commission expires: 7/Z-~ ~o`l' . 2' <br />~~~~~ '"^.n^rals and Geology j.Qla~`~ `\`,r <br />SIGNATURES MUST BE IN® ~~~""`''_'.~~~~ <br />m:vni~wmnronm~c«m„n~~ ~ u.a~ (nvamv~a osn Inoosl <br />NN2006 g DMC 712AppL PEItCENSSANDSTONE <br />