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- 7 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identifed in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations aze prohibited bylaw (Section <br />34-32.5-115(4)(f), C.R.S.; <br />3. As the applicanVoperator, 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 Boazd fmding. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this / / day of <br />Routt County <br />ApplicandOperator or Company Name <br />/,- r' <br />Signed: <br />Danie R. Ellison <br />Title: Chairman. Routt Couaty Boari <br />S[ateof Colorado ) <br />ss <br />County of Routt ) <br />If Corporation Attest (Seal) <br />,....... . OGi+, <br />.. O'ti;l <br />~, ~ . <br />,~,r : ~~Stgned: /~~~~ <br />tp o <br />~~ ~ ~ Corporate Secretary or <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 1 rh day of _,~Q.~+, , ~'~`7 , <br />by Darael R. Ellison as Chairman of Routt County Board of <br />County Commissioners <br />~~~~~~~ <br />- Notary Public <br />~= - - . <br />- ~.:~r c <br />= My Commission expires: ~'- i~~~0 °~. <br />SIGNATURFS__PEi4'JSrTBF+1N BLUE INK <br />M:NIIN,BDC~MPIFORMS12823C012APP 10/17/01 ~M-~"~ <br />