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- 7 - <br />Cer6ifica&an: <br />As ma authorized reprresegtative of the applicant, I tuseby ceatify Zbat the operation desrnbed has ~ the minimrun <br />regnneme~ts of the following teens and oonditioms: <br />1. To the best of my knowledge, all significmrt, valuable and peamane~nt man-made struchrre(s) inexistence: at the time <br />this application is filed, and located within 200 feet of the purposed affected area have been identified in tlris application <br />(Section 3432.5-115(4)(e), C.RS.). <br />2. No mining operation wffi be located our lands where anal operations are pr~ubited by law (Section <br />3432.5-115(4)CfJ, C.R.S.; <br />3. As the applipntloperator, I donut have a~ extraction/exploration opeaations in the State of Colorado ciurentiy um <br />violatia~n of the provisions of the Colorado Land Reclamation Act for the Extracti~ of Conslracdion Maierials (Section <br />3432.5-120, C.RS.) as determined through a Board finding. <br />4. I rmde~and that statements in the aPp are being made under penahy of perj-uy and that false statements <br />mask hers are punishable as a Class I misdar pursuant to Secxi~ 28.8-503, CRS. <br />Signed and dated this ~ day of ~~rl4i/iw`~'it/ d?DO 3 <br />L <br />Applicant/C+peratar or CossgranyName <br />Signed ` 1 1 ~ f <br />Title: ~N/'y~ <br />Tf Corporation Attu (Seat) <br />Sig~d: <br />Corporate Secretary or Equivalent <br />ToavnlCity/County Clerk <br />State of ~~t~=~~~E'o <br />~ ,~// ..~C ~~ ) ss <br />County of `7.~/CY~"~-2/ ) ~/~ <br />The foregoing instnnneni was acknowledged before methis / ~ day of ~U'°~~ X003 <br />by ~~tc,~ ~, CYay as OtuYl2.~'"" of ~a ra , d. i <br />sYOtary t'u ~ _' n~~~jj`-irv`-^,9~ ~/5~/ <br />MyDCommissionexp"~.T~ 1QY` Q~ <br />SIGNATURES MUST BE ilY BLUE INI; <br />M:~u`ehnaMro~lC~xt~ llz.mc riaurmop <br />