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7 _ <br /> Certification: <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 27th day of January 1999 <br /> Sand Land, Inc. If Corporation Attest (Seal); <br /> Applicant/Op I <br /> or mp Name %- <br /> Signed: L/ — / tet�cu�i Signed: <br /> Corporate ecretary or Equivalent <br /> Title: President Town/City/County Clerk <br /> State of './"�/l� /� ) <br /> ss <br /> County of ��,/��..� ) <br /> The foregoing instrument was acknowledged before me this "day of i J -F , I . <br /> bYIC �(�IIIJ / <br /> Notary Public <br /> My Commission expires: zL�o <br /> SIGNAWRES MUST BE IN BLUE INK <br /> 06/26/97 2823FCO.112 <br />