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6 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.5-110(1)(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 (Section 34-32.5- <br />115(4)(e), C.R.S J. (NOTE: For 110 operations, the affected azea includes all lands delineated by the permit boundary.) <br />No mining operafion will be located on lands where such operations are prohibited bylaw (Section 34-32.5-115(4)(1), C.R.S.). <br />4. As the applicant/operator, I do not have any mining/prospecfing operations in the State of Colorado currently in violation of <br />the provisions of the Colorado Land Reclamation Act for the Extraction of Consttuction Materials (Section 34-32.5-120, C.R.S J. <br />5. I understand that statements in the application aze being made under penalty of perjury and that false statements made herein <br />are punishable as a Class 1 misdemeanor pursuant to Section ] 8-8-503, C.R.S 1984. <br />Signed and dated this 30th day of <br />Oldcastle SW Group, Inc. <br />dba United Companies of Mesa County <br />ApplicandOperator <br />Signed: <br />Peter J. Siegmund <br />Title: Vice President <br />S[a[eof Colorado ) <br />ss. <br />County of Mesa ) <br />October <br />The foregoing instrument was acknowledged before me this 30th <br />Peter J. Siegmund <br /> <br />_ -_ <br /> <br /> <br /> <br />.~ ~: <br /> r~~ <br /> <br /> <br /> <br />as Vice President <br />2002 <br />If Corporation Attest (Seal),. <br />Sign <br />Lowe aycoc <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />day of October 2002 by <br />Oldcastle SW Groin, Inc. <br />of dba United Companies of <br />Mesa County <br />Qtr /_r/.u--L/(~-arc ~. aLJ.pfli~(~~ <br />No[aryPublic Genevieve M. Blecha <br />My Commission expires: April 4, 2003 <br />SIGNATURES MUST BE IN BLUE INK <br />M:N-fIIJ~SHARE\VSFORMS~2821CO10.APP 10/15/Ol <br />