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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 misde a or <br /> pursuant to Section 18 8-503, C.R�.IS. <br /> /�" <br /> Signed and dated this _ day of I��UV�V11Jl�iK f / r/ <br /> L G If Corporation Attes <br /> Applican / r for or Con any Name ` <br /> Signed: Y Signed: Y`, <br /> {N�V Corp rate's cretary or Equivalent <br /> Title: U/�IIY/(���f nnp6 �n 'I 1 Town/City/County Clerk <br /> State of ��u(, O ) <br /> ss <br /> County of 6(0)IaZ ) <br /> The regoing instrument was acknowledged before me this da/y of 1 <br /> by as V (���01MAJ., of A� C ��tlU� <br /> pRr'pUe�• <br /> Notary Public <br /> KIMRIVARD i My Commission expires: o2�oZ <br /> rF 0F.00 SlGWLTURES MUST BE IN BLUE INK <br /> My Comm.Expires Jan.1,2002 <br /> 04/25/97 2823FCo.112 <br />