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-8- <br />CertiBcatioo: <br />As an authorized trpresentative of the applicank [ hereby certify that the operation destribedhas met the mirmm®requitanaus of <br />the following terms and cor-ditions: <br />1. To the best of my Imowledge, all significank valuable and permanent man-made strucdrre(s) in exist«rce at the lino this <br />application is Bled, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-I t5(4xe), C.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.5-115(4xf), C.RS.; <br />3. As the applicarrt/operator, I do not have arty extrectionlexploration operations in the State of Colorado currently in <br />viohuion of the provisiorrs of the Colorado Land Reclamation Act for the Extraction of Constrr~tion Materials <br />(Section 34-32.5-120, C.RSJ as d~eamined through a Board finding. <br />4. I understand that statements in the application are being made under penalty ofperjury atd that false statements made <br />herein are punishable as a Class 1 misderrreanor pursuant to Setxiar I8-8-503, C.RS. <br />Tlrir jorar Ana been approved by dFe Mared Lmrd Redaaraleoe Board Prrrswat m section 34-32.5-112,CRS, ojNre Colorado Lmrd <br />Reclmaation Ace jor die t!amraalorr ojCoas-rratloa Matoiob. Aay a8aatiar or nrodiJr~aon offb& jonrr abaU reantt br voidwg any <br />perari9t ivaed arr tiro aCaed a nrodi/ledjonrr axd sabfed fAe opaamr m ctara and dental orders cad d dl pereaEetes jor opesaabrg nitlFad <br />a pennirprvsrant m aediar 34-32.3-123, CRS <br />Signed arxi dated dris 2~. ~' day of c~ ANUA-R ~ 2OOi, <br />MESA- SA-r.1.~.s-ra>J~i L , L,C. <br />Applicaru/~OJp'eret/or aCompany N~ <br />Signed: aiL~ <br />~I~Li/}M K. Goot~E <br />Title: 1 N t Tr A-t M-A-IJA~-E!~' <br />State of ~',~jt m~A.4-DTI i <br />ss. <br />Couruyof_~~nA) i EZUMA 1 <br />If corporation attest (seal) <br />t ( <br />Signed: <br />~~ <br />Town/Cityi <br />.m <br />;~ <br />a~ <br />s4c s <br />z~ Oq $ <br />r~, <br />The foregoing insttutneat was aclmowledged before me this ~ day of J t i ~ Y . ~20C~ Lz, <br />by (.y i ~~ r A-nn K. <Tnr» s as 1 ~ i .. n2 M A-titA-6~k of r~l _e a SA~~.<Tn n1 E , L . L ..C. <br />~/ <br />Notary Public Gb~~r~ L I/~e-Jeir3 <br />My Commission expires: 7 ~'Ya~~o 4 <br />. ~~ <br />SIGNATURES MUST BE IN BLUE INK _ `' ~ ~~' <br />` ~. <br />en:Vmiow.«Warmm~cammuano 11x.doc (nrproMee OS/I1I20DS) ~',? Y t. ''~ *- -. <br />~•, ~ sil!W,D ~`~ <br />a ". <br />