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FEB 1 ZOU6 <br />uon d MnsriU ana C»obp• <br />t'erlificxtioe wranatlc ui <br />.4s an autlmneal rcprcsentuuvc ~~f the nppbe:uu, l Ixrehy cenrF Utat the operauun desatbul has nwy Ute nwtnnwn rcq <br />the foao~ang terms and condiuuns- <br />I I'o the best ul me'~rrut~lalbw, nll stgnd-leant, ~ alunhte :md pemrancm man-made stnlcuu~~ a I m c~rstencc at the unx: th,~ <br />application Is t'drd, and lasted tsnhm ?t?tt feet of the proposed n(Tccled area haec been rdcNiGcd in this applicaucxt <br />tSccuun3l-3Z>-II>t4~Id•.C.K.S1 ruhibit.; ',, '.'~~ <br />No numng operation will be lasted on lands tvhcre such opttauons rue p <br />iSa•~wn tJ-?? i.l15tJKil.C KS: <br />~ As UK apphcanUo{+craux, I So rnd ha~c any csuacptxticspktruuon opcratiuns m the State of Colurul~, , u,:ml~ .n <br />tinlnttun of the provsions of the Colorado Lnnh aR~u Cmdmg ct for the f•.ntraction of Construct,un ~t:a.~r d~ <br />tSccuon 3a-32 5• I.u, C.R.S t as dacrnuncd thruug <br />J I undcrswnd that statcrncnts m the appircauon nre bemgmade under pcttalq of perjure aril that false staterttcm; m.e.k <br />hrrcm are pwushablc as a Clast 1 nusdetncarxr pursuant to Sceuat IR•`i-~+? l• ( R S <br />t 11.~(~•K•\'.. nJ rhr Cdurarla l.anJ ,.. , <br />Thu Jnrm hux brrn apyro~KJ A/ Ibt 5fin.•J CmJ NrcWmur6rn liuarJ yursuant rn eYConn )~-?%.. - <br />HeoWrnnri..n,IrrJor rht Ezirmtinn a/('mm~u~Jion M1faR~riab. Ane olrnurwn ur m~~JiJuwrinn of rAu Jnrm shall result ur voiJing, hY~1NC.. <br />/rrrmir u.+urAnn rbt aUrrrJw mwGJrnlJ^rm anA fuAjrA rhr nptroWrfa ctwta»J.klul mJas and civilprnuhir.. Jin uyaaOnR !r~'QW,.••~,. ` •. <br />~: <br />a /rnnrir yunuanr ra ~nYion .iJ• 1:. SJ: ~. r •tt. ~. _ • ~ ~ '" ~ <br />~'OC'F~ c W ~ i~ <br />\it;ual :md dJta1 lhrs - ; d •., ~ v ~ G <br />IfCorporntiooAUCStIScxl1 •~ yd~• ... ,_Gw <br />'' ~ - S_ ~ N'.v_ - - I""" <br />Apphcant.'Opcrntor or Cotrtpany Name ._,i ~ . "• <br />- ~~, - ~r::,.~ -~, .. <br />_ Srgtwd -~~ <br />\iylu~.(~~i~ (:orptxatc Sarctan or Eywralrnl <br />I'otsni('uv7('uuntt ('ICrA <br />ntle ~--~LTOR o1= ~`~,tarE MBNAGf-.M~ <br />$txtcnf r'„ nQAtXJ 1 ~ <br />I~ <br />t <br />Cowtty of '1~,~,+' <br />I c ~ day ul _ 1s~~: 1 it '' l -4~+--- <br />Thc for omg inslrwncr+t ttas acAnoHl~lgul bcfrxc ntc tir:s _li~-~ IhnmF. of ~ 1 c` <br />1 D ~~ <br />~ (' ~ ~; • (. asst. ,..,~.e..a+u+: 4.----~ <br />Notary Public ~ <br />\t~ (-onnnfsuvn c~prres _ . ..,. , , <br />~. BICI{F ., <br />SIG~.4TURES MUST 8t: 1?1 BLCE INI: `~•' <br />nr maLL+.wNumr Ga~w~m ~': o : . <br />Q 'r- <br />S ~ •..U • 0 ~~''•»»••' OQ <br />O ., ~ ,. <br />rAhOF~~, cOe`e~ <br />"•n..•mwaa••••. <br />