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3qN-27-06 04:13 PM DOUG CONGER 970 565 8394 P.63 <br />-8- <br /> <br />N en eulioriud ntpnesattetive of the applicant, I kreby certify that dte operatlan described Iles and the minuretrrt mgtdrernenn d <br />the fdkwittE tame aril tcaditians: <br />l . Tuttle beet dmy knowledge, ell significant, vahubk end pamenatt men-made stnraure(e) in exLtettoe et the tirue thm <br />eppike+tion u filed, aril located within 200 foes of the proposed eSected afro have been identll)ed in this epplicetion <br />(Section 34-32.5.1 13(4xe), C.R.S.). <br />2. No mining operation will be located an letde whore ouch opentiaro ate prohibited by (sw <br />(Section 34-32.5.1 IS(4x[), C.RS.; <br />3. Ae the epplieanUopes•etor, I dotax have eqy oxtrectiotthxplaralion opaatione in the Sute of Colorado cun+attly N <br />vio4tion d the provisiatu of the Cdando [.end Reclametian Aa for the [sxtraetian of Construction Materials <br />(Section 34-32.5•!20, C.R.S.) to determirod through a Board Boding. <br />4, 1 usderaland flat s4temenb in the applicaioa ere being made ardor penalty of perjury std thu false sutemew made <br />herein rue ptotisltebk as a Claae i tttisdaneattar pursuant to Sedicn 18.8-303, C.R.S. <br />ratsjo+ar Mr Oar ~apo-wt iy et. Alfitul fw0 RK+futratlsor Boa-I pewra~ b aele6os 31.3ZJ-111,C1t:S, oJrly Cdapfs LwI <br />IteatawrNon Ad jor a. eaa-ecyfan ~carmredwr Mwaitb. A~y.6aa~oa ar.e~b~r q~eMbfo..r alti-eaX ~ wWg.w <br />piwitiiwdw 4tiraraa/o-asoyJa/jxer p/sn}/atsakaoparirrlvaaew//sbtar/ns w/dritpaarhLtJaga~riiar <br />apenadtpraranaro raelbrt .11.3?.J-173, C11.R <br />Signed end detail this _~ dry of Jgt~(~L y _, .~.• <br />Appiicera/Opaelar or Competty Name <br />~~; _~~ <br />~.')~~,Atit 1;. Goc~aF <br />Tilk: I AI t T i A 2 M 1MlA6F1~ <br />5tete d ['p r s~fQ .a a t. 1 <br />County of Mn-~T£LVM A )u <br />!f Corporation Attest (Saq <br />Si~tei: ~ ~ ~-- <br />C ~~-1"~ .knt <br />.• ~ <br />A I. .lr /: <br />..% :S. ~. rr ~ ~ ( is: <br />..,, oIl 1f~:r.: <br />,~ ~ <br />The foregoing iestetnnent was aclmowladged before tae thin ~ day d ~, ~ u ,~ 7. Cn „ <br />by LA)1 ~ ~ een k, r ~.~Tr_ es I A11 t, k~ Mk~1A~,5-Pl+ of rk _ca CAt~1cTeA)E 1.1.1:'. <br />RECEIVED ~ '~ `~=- <br />NoteryPublic C:~.rt~ L 1fI~aJVr3 <br />JAN ~ 02006 <br />My Carmtisska expires: 7!'~le~ <br />priaiw ~.......... _ gad 8aalugl <br />SIGNATURF.R IIII.iST BE IN BLUE IAIK <br />w:w.lw.r.~~c~...l ut.~ t~po..a os~) trmssl <br />• .. <br />~. .,. <br />