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• -% - • <br /> Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements <br /> of the following terms and conditions: <br /> 1. To the best of mv knowledge, all significant,valuable and permanent man-made structure(s)in existence at the time this <br /> application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br /> (Section 34-32.5-115(4)(e), C.RS.). <br /> 2. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32.5-1 15(4)(f), <br /> C.R.S.: <br /> 3. As the applicant/operator, I do not have any extraction/exploration operations in the State of Colorado currently in <br /> violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br /> 34-32.5-120,C.R.S.) as determined through a Board finding. <br /> 4. 1 understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class 1 misdemeanor pursu t to Section 18-8-503,C.R.S. <br /> Signed and dated this day of Ua <br /> Roaring For Reso ces, Inc. If Corporation Mies' <br /> Apph ant/O rato or mp ame <br /> Signed: _ Signed: <br /> / Corporate Secretary or Equivalent <br /> Title:�n� Town/City/Count), Clerk <br /> Stateof COID/' O <br /> ss <br /> County of qQ/` e !c� ) <br /> The foregoing instrument was acknowledged before me this /`5 day of 5�•e ill her C59000 <br /> byQ-CI'lar �d t vt)5 0✓1 as V,66 oiI&Li,IQ kA2'pSa"nc5 Z?1/_• <br /> . . <br /> COCA Not Public <br /> N1 '/ <br /> ;O vCommissionexpves � �i//- D�7 <br /> F aF�CO� SIGNATURES MUST BE IN BLUE INK <br /> M.^mm b.1,sf..\23Z3CO 12 (07117,2000) <br />