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<br />-~- <br />Certification: <br /> <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 34- <br />32.5-115 (4)(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(4)(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 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. 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 ~~ I' <br />r Cr <br />Applicant Operator~//R/r Company Name <br />Signed: CJ"(.~ '\~ <br />~ ~\~(~ <br />Title: ~ ~J Q.CJ~ <br />State of Cp~prarin ) <br />Enl t/ ER ) ss <br />County of ) <br />by <br />PA7RICIA A. <br />BULW <br />If Corporation Attest (Sepal,)/ <br />Signed: UZ-e- ~~l <br />Corporate Se retary Or Equivalent <br />Town/City/County Clerk <br />c p <br />trumen~t w/a7snacknowledged before me this Z~ day of ~,-/,/~~ ~ 1 <br />C, 1~~--~- as ~~~-- of ~ 2.R_Jt~ ~h.2.t~~ V{~l~a <br />` o ary Public <br />7 <br />My Commission expires: ~Z.4I~t~ <br />SIGNATi1RHS M[JST 88 IN BLIIB INR <br />01/23/97 2823 FC0.112 <br />