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-~- <br />Certification: <br />As an authotued representative of the applicant, l hereby certify that the operation described has met the minimum <br />requirements of the following teems and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made sWcture(s) inexistence 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 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), C.RS.; <br />3. As the applicant/operator, I do not have a~ extractionJexploration 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.RSJ as determined through a Board finding. <br />4. I Imderstand that status in the application are being made ands penalty of perjury and that false statements <br />made herein are punishable as a Class 1 nvsdemeanor pursuant to Section 18-8-503, CRS. <br />;~1 A <br />Signed and dated this 'Z8 day of /~ P ~ ~ ~ <br />Aggregate Industries - 41CR, Inc. <br />Applicant/Operator err Compaq Name <br />~ .h_ <br />Sign <br />Title:v ~~-~-;/'RiSi~fi~~-~OWI~~~sTIVFT~e.v <br />State of l ~0~-' <br />~7. Corporate <br />~:_ <br />Gyuivalent <br />._- Ml <br />y Clerk ., ~~`~~`' <br />ss <br />County of S ~ <br />The,fo~regoing ' was aclmowledged before a ties o2 8th day of ~ - 1 r~ <br />by ~' L!C~Li/o Q~ K' t~ as ~i cD~oL~~'- G~ih~~iuaZt~Y~of (~~,2~Qa,~4~oerG¢+?Ft~a -IUC R,eQnC, <br />.• <br />f` ~'`~ Notary Public <br />e~~.~ar;a s. ~`3~' <br />SODEPdRtlA~1N t My Commission expires: ~D ~ B a~ <br />._ : S) <br />Il\' °L1IE n <br />2.vo <br />If Corporation Attest (Seal) <br />Signed: <br />M~nkEaeMFo~`Camvaction 112doe (10/ISR001) <br />