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.~. <br />As an authorized repneamtative of the applicant, I hereby astify diet fhe operation descnbed Lae met the mininmnn <br />teq~d>~ots of the following terms and canditiaos: <br />1. To the bed of my knowledge, all sigoifieaat, valuable and perasaneotman-made structure(s) in existence at the lose <br />this application is Sled, aril tocatod witLin 200 feet of dm proposed effeded men have bas ideati5ed in this applicaton <br />(Section 3432.5-I l3(4xe), C.RS.). <br />2. No mioigg operation will he kxxted on tand4 where each operatiam are pmhbited by law (Sectiem <br />3432.3-113(4xP), CRS.; <br />3. As the aploperatar, I do r~ Lave arty extractiooler~ploration operstiaos in the State of Colorado aureartly m <br />vialatian of the provisioav of the Colorado Lem! RerJamatim Ad for tLe Extraction of Caostntetiem Mata~iaLt (Searon <br />3432.3-120, CRS.) as determined through a Board fiodaig. <br />4. I underatmd that in the applicatim am beirgl ensile order penalty of perjiay and f>~ false state~nta <br />made Lenin are puaiebabk as a CLris 1 a>isdt:meanar porsumt to Sodion 18-ti-503, CRS. <br />Signed end dated thin 8 ~ day of r"t ~ r~ 1 ~d 7~ <br />L130NE BAND AND (}RAVSL, LLC <br />ApplieadJOperator a CaugtmyNorm <br />b <br />.SrgnOd <br />Tide: YYl aMa ,~ _ <br />Stile of ~ <br />)~ <br />~r <br />TECarporaticn Attest (Seal) <br />t <br />Signed: <br />Corporate Saeretsy err Equ{ t ° - <br />xawnlCitylCamty Ctedc <br />The faeegoing inatinnneat was admow-eagaa before me this ~~ say of ~ aao ~ lyy <br />as of <br />gERRARU d. &OI~ZAIvE: <br />t'ouMy dark & Reaorel®' <br />p, O. Box i 15 <br />Trinidad. CO 8108,2 <br />-~ ~,~ l~ <br />~. ~Cl$~~~~P~r454~ tirfliw <br />Notary public ~ ~7r;~ ~ <br />MY Comminsioa axpires~.lJi/!11`~ ~ <br />SIGNATURES MUST BE IN BLUE INIIC <br />nth i gum ttonsrmm~ <br />