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<br />-~- <br />Certifioation• <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 39- <br />32.5-115(9)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(9)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 39-32.5-120, C.R.S. <br />as determined through a Board finding. <br />9. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this /~~ day of e4 a-~ ~~ <br />Applicant/Opera~t/o~r/ or Company Name <br />Signed:~.CTV/~~~,/~ 1 <br />Title: ~PIt/CI /" `EI ~~1 N~dt2GrC j~ <br />State of I '0~(I~Y~2LEl~ ) <br />// ) ss <br />County of L~l~l~r~ / ) <br />If Corporation Attest (Seal) <br />Signed: \ ~ l~ _ <br />Corpo Secretary or Equivalent <br />Town/City/County ClerK <br /> <br /> <br />The <br />g <br />foregoi ~1~ <br />instrument was acknowledged befor <br />t <br />his /~! <br />me <br />day of <br />~lU <br />~, <br />~ U <br />by n <br />'~ <br />I[A~l~ e~ e{ <br />~~ <br />+ <br />0~.~~'2r~9U2/~CF~ as ~VIIOJ'LQl2/.1 /!~(Q/'(Q~{Prf G~P ,~]~ / <br />~ / <br />~i'f'l l~lD-l/!1~ /UOf~,~ <br /> <br />~t ~y Publi - <br />My Commission expire5:.= S <br />SIQ~ITURES MITST BE IN BLUE INlC <br />04/25/97 2823FC0.112 <br />