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<br /> <br />Certification: <br />- 6 - <br />• <br />As an authorized representative of the applicant. I hereby certify that the operation described has met the minimum requirements of the <br />following tetras and conditions: <br />All necessary approvals Gom local government have been applied for (Section 34-32.5-I 10(l)(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 34-32.5-1 l~(4)(e), C.RS.). (NOTE: For 110 operations, the affected area includes all lands delineated b_v the permit <br />boundary.) <br />3. No training operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)0, C.RS.). <br />4. As the applicanUoperator, I do not have any mining/prospecting operations in the State of Colorado currently N violation of <br />the provisions of the Colorado Land Keclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.RS.). <br />5. I understand that statements in the application are being made under penalty of perjun~ and that false statements made herein <br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984. <br />Signed and dated this ~~'/~ day of ~.~.~ L ~~ <br />Randy ParriiiP <br />Applicant/Operator <br />Signed: ~T(~~~~~ <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Title: Operator <br />State of Colorado ) <br />City and )ss. <br />CounNOf Denver ~ <br />The foregoing instrument was acknowledged before me this d~-' day oC June <br />Randy Perdue as Operator <br />PEGGY UPTON <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />.,.s-.o.>-...,.,. <br />Town/City/County Clerk <br />2000 by <br />of Perdue <br />/" (~ <br />Notan lie <br />My Commission expires: 2 ~ 8 / O 1 <br />SIGNATURES MUST BE IN BLUE INK <br />e <br />M:VNIMSFIARFVSFORMS~2821COIO.APP 06/25/99 <br />