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<br />-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-I I5(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where sucfi operations are prohibited by law (Section <br />34-32.5-I I5(4)(f), C.R.S.; <br />3. As the applicant/operator, 1 do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 25 day of <br />Fremont Paving &Redi-Mix, Inc. <br />ApplicanUOperator or Company Name <br />Signed: <br />Title: Secretary-Treasurer <br />State of Colorado <br />Fremont <br />County of <br />ss <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 25th day of August 2000 <br />by John P. Ary as Secretary-Treasurer of Fremont Paving & Redi-Mix, Inc. <br />.Y <br />~-~.~ <br />NOt Public JoAnne R. tephens <br />839 Mackenzie Ave. <br />Cano~2 City, CO 81212 <br />My Commission expires: @8¢3 },~; <br />SIGNATURES MTJST BE IN BLUE INK <br />August 2000 <br />M~..VAMS{1AAE\YSPORAL51281}C012.MP 03/1 W99 <br />