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<br />-G- <br />;` <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following teens and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.x-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in esistence 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.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />permit boundary.) <br />3. No mining operation will be located oo lands where such operations are prohibited by law (Section 34-32.E-1 l~(4)(t), <br />C.RS.). <br />4. As the apphcant/operator, I do not have any tnining/prospecting operations in the State of Colorado ctnrently in <br />violation of the provisions of the Colorado I.md Reclamation Act for the Extraction oC Construction Materials (Section 34- <br />32.5-120, C.RS.). <br />5. I understand that statements in the application aze being made under penalty of perjure and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. 1984. <br />Signed and dated this 13th ~y of March <br />Nie h ~ a ona ~ ion ~ E7rcavatina Co <br />Applicant/Operator <br />Signed: ~y~~._A.1~ <br />Corporate Secretary or Equivalent <br />Title: Vice-President <br />Town/City/County Clerk <br /> <br />2001 <br />If Corporation Attest (Seal) <br />Signed: ~-•?-Y: f ~'~~t ~,~ <br />State of Nebraska ) <br />ss. <br />County of Cheyenne 1 <br />The foregoing instnnnrnt was acknowledged before me this 13 <br />Keith Nienhueser as Vice-President <br />day of March <br />2001 by <br />of Nienhueser Constr. & I7tcav. Co. <br />f>EltI11AL NDTAPY•StatU of NeDraeti ~°'~ <br />RAMGNA ~ 6EYt~i Notary Public <br />~ Cooon. Fem. R0. $ taOS <br />My Commission expires: a ~ o? ~ ~~` <br />SIGNATURES MUST BE IN BLUE INK <br />