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0 • <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 misdemeanor <br /> pursuant to Section 18-8-503, C.R.S. <br /> Signed and dated this day of '114 O-A-a- .- 4 4 Q <br /> CAMAS Colorado, Inc. an Indiana Corporation If Corporation Attest (Seal) <br /> Applicant/0 <br /> erator or Company Name <br /> Signed: Signed: <br /> Corporate Secretary or Equivalent <br /> Title: 'dent neral Manager Town/city/County Clerk <br /> State of Colorado ) <br /> ss <br /> County of Jefferson ) <br /> The foregoing instrument was acknowledged before me this 066 day of Cfkox' <br /> by Richard Meraens as vice Pres./General Mgr. of CAMAS Colorado, Inc. <br /> Notary Public <br /> My Commission expires: <br /> SIGNATURES MOST BE IN BLUE INK <br /> 04/25/97 2623PCO.112 <br />