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<br />-6- <br />Certification: <br />As an authorized representative of the applicant,..,I~h~er~-eby certify that the operation described <br />has met the minimum requirements of the following firms and conditions: <br />1. All necessary approvals from local,goyernment have been applied for <br />(Section 34-32.5-11O(1)(a)(viii). '?4',". <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) <br />in existence at the time this application is filed, and located within 200 feet of the <br />proposed affected area have been identified in this application (Section 34-32.5-115(4)(e), <br />C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />permit boundary.) , <br />3. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.5-115(4)(f ), C.R.S.). <br />4. As the applicant/operator, Z do not have any mining/prospecting operations in the State <br />of Colorado currently in violation of the provisions of the Colorado Land Reclamation Act for <br />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 <br />and that false statements made herein are punishable ae a Class 1 misdemeanor pursuant to <br />Section 18-8-503, C.R.S 1964. <br />Signed and dated this ~_ day of .TU ~ ~~ <br />Sed 4 w ~ C~~ Cov ~"~y Y\ 04 ~ ~ VJ r '~ y 'e if Corporation Attest ( Seal ) <br />-~ Applicant/Operator--~- c~ <br />signed: Itc,~ l~e~~.~ <br />Title: wnPV[I~SOf <br />'T <br />signed: ~/~l~pQ~ ~e,/7G~U~Z <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />---~ <br />State of ~p ~ n err. ~ n ) <br />ss <br />County of ) <br />The foregoing instrument was acknowl/e~dged/before me this L{L~ day of _/, ~, <br />by , ~,QQe,u~ as l ~f~ . ( ; ~O~r/h _ of 0 /1/ ~i yi /'/~ _ ( ~i77i,w~.. <br />.`0~). J~''!yn -~ Not ry Public <br />~~QY,Q/jf,,..: `. My Commission expires: ~it+rl,_ 5 ~DDO <br />-a-~r-o- ~.:... ,:. , <br />.1` ,_. ; ... 0 7. :. 4 SIGNATORES MIIST 8E IN SLSIE INR <br />' OF 00~ <br />'4' "Y1,. µ........~` <br />01/02/96 2821FC0.130 <br /> <br />