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-6- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals frao local government have been applied for <br />(Section 34-32.5-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) <br />in existence at the time this application is filed, and located within 200 feet of the <br />proposed affected area have been identified in this application (Section 34-32.5-115(4)(e), <br />C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />pezmit boundary.) <br />3. No mining operation will be located on lands where each operations are prohibited by law <br />(Section 34-32.5-115(4)(f), C.R.S.). <br />4. As the applicant/operator, I do not have any mining/prospecting operations in the State <br />of Colorado currently in violation of the provisions of the Colorado Land Reclamation Act for <br />the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application are being made under penalty of perjury <br />and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to <br />Section 18-8-503, C.R.S 1984. <br />Signed and dated this 22nd day of April <br />OTERO COUNTY If COrpor~ <br />Applicant/operator ~. <br />Signed: d~ l ~jS,iggnE <br />Title: Road and BridEe Supervisor ~..~~<`~ <br />State of Colorado <br />~dFl/4,i7® <br />ss <br />County of Otero ) <br />2004 <br />fin Attest (Se <br />'porate Secretary or 8q <br />Town/City/County Cl <br />The foregoing instrument was acknowledged before me this 22nd day of April ~ 2004 <br />. Supervisor <br />by KENNETH S. PARKER as Road and Bridge / of Otero County <br />and by SHARON SISNROY as County Clerk of Otero County. <br />,z ~ , <br />. o <br />.~ <br />-. I ~L/Ai1~ - ~ ~l LL cz Z/~~ <br />--z. Notary Public <br />My Commission expires: 12/23/2005 <br />o1/oz/v5 zazvTco.uo <br />.>.. <br />