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6 - <br /> Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of the <br /> following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Section 34-32.5-1 10(I)(a)(viii). <br /> 2. 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.R.S.). (NOTE: For 1 10 operations, the affected area includes all lands delineated by the permit <br /> boundary.) <br /> 3. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32.5-115(4)(tJ,C.R.S.). <br /> 4. As the applicant/operator, 1 do not have any mining/prospecting operations in the State of Colorado currently in violation of <br /> the provisions of the Colorado Land Reclamation Act for 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 and that false statements made herein <br /> are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S 1984. <br /> Signed and dated this day of IUa 9 9 9 <br /> t)UJ N�A_ Lu r'5 M• [Zaf. 'cc e z If Corporation Attest(Seal) <br /> Applicant/Operator <br /> Signed: Siged: <br /> Corporate Secretary or Equivalent <br /> Title: 014J/Ur+T. / $e1(%Eivc/1Lo Town/City/County Clerk <br /> State of 061ftAo ) <br /> ! ) <br /> County of W`� `uC ) ss. <br /> The foregoing instrument was acknowledged before me this Z5 day of Raj 1949I by <br /> L as CWVt&e- of to, <br /> OPH6PT A <br /> 9Cf <br /> Notary Publ' Q <br /> My Commission expires: I - Z Q—Zooz <br /> FOF COLOP SIGNATURES MUST BE IN BLUE INK <br /> M:UMQJISHAR"ftRM } >&�gftaB/YB@0071/10/99 <br />