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i • <br />-6- <br />Certification: <br />As nn authorized representative of the applicant, I hereby certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals from local government have been applied for <br />(Section 34-32.5-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) <br />in existence at the time this application ie filed, and located within 200 feet of the <br />proposed affected area have been identified in this application (Section 34-32.5-115(4)(e), <br />C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />permit boundary.) <br />3. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.5-115(4)(f ), C.R.S.). <br />4. Ae the applicant/operator, I do not have any mining/prospecting operations in the State <br />of Colorado currently in violation of the provisions of the Colorado Land Reclamation Act for <br />the Extraction of Construction Hateriale (Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application are being made under penalty of perjury <br />and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to <br />Section 18-8-503, C.R.S 1984. <br />Signed and dated this 23 day of April 1996 .- <br />Lee Sutherland <br />Applicant/Operator <br />_ / <br />Signed; 6,.~ ~i~~ =~ <br />Title: PleSldent <br />State of Colorado ) <br />County of <br />Montrose <br />es <br />If Corporation Attest (Seal )_ <br />Signed: ~~L~l1 !A <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 23 day of April 1996, <br />by <br />therland as President <br />of Sutherland Bros. In <br />iw~ / lJ/~L~J <br />Notary Pv~' c <br />My Commission expires: 4-22-98 <br />01/02/96 2821 FCO.110 <br />