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<br />-s- <br /> <br />Certification: <br />As an authorized representative of the applicant, i hereby certify that the operation <br />described has met the m++++~~^~ re~++;remeate of the following terms and conditions: <br />1. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made etructurets) located within two hundred <br />(200) feet of the affected lands. (However, xhere there is an acreement between the <br />applicant/operator and the persons having an interest in the stricture that damage <br />to the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are <br />prohibited by law (Sectiaa 34-32-115(4)(£), C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through <br />a Board finding. <br />4. I understand that statements in the application are being made under penalty <br />of perjury sad that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />signed and dated this I S ~ day of ~~-.---~i-'--~ 4 5~ <br />Western Gravel, Inc. <br />Applica1nt/Operator <br />Title: Mann <br />State of l U~CNGC~C~ ) <br />r~ /I ~ ) 66 <br />County of l} /C1Y)T'C~S~ ) <br />If Corporation Attest (Seal) <br />Corporate Secretary or Rqui~2:lenc~~ <br />.~ ~..~ <br />Town/City/County Clerk. _ - <br />The foregoing instrument was aclmowledged before me this ~s day of ~~, <br />by E 7/ ~Ct-rl l.l~ ~ Sc~r-i as <br />/Yl; ch~l ~ ~ ~e ll(JJ C~.ic)'~ <br />-- <br />- - <br />_ ~ 1 _~ <br />•~.~ ~^ f.^ s\~ <br />2873E+: <br />(lOll4l94) <br />n7G~-nQC~.C.~ of ~(~°SI~E~n/~~ yc~~I ~ 4'e,~1 <br />~.5 oSC.CrE~u-/y L(.~fSTC~r7 L'7rc~L~ <br />1 ' \- <br />NOt Public <br />My c..ommiesion expires•(~'~3'~7 <br />