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NOV. 1.2006 3;04PM TOWN OF GRANBY 9108879341 N0. 9515 P. 11 <br />-s- <br />certification: <br />As an aWhoriztd representative of the applicant, I hereby certify that the operation desrxilx~dhas met the mnrinmm of <br />the following terms and conditions: <br />1. To rice best ofmy knowledge, all significant' valuabkand permaneotman-made sutrc4rre(s) in P..:aea~re at the t®e this <br />application is filed, and located within 200 feet of the pmpased affected area have been identiEed in this application <br />(Section 34-32.5-115(4xe), C.R,S.). <br />2. No minitrg operation will be located on leads where such operations are proW'bited by law <br />(section 34-32.5-115(4x£1, C.RS.; <br />3. As the app]icanVoperator, I donor have arty extractioNexploration 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 <br />(section 34-32.5-120, C.RS.) as detramined through a Board 5adntg. <br />4. I understand that statements in the application aze being made order penally ofperjury and that false statements made <br />herein arc punishable as a Mass 1 misdertteatwr pursuant to Seaiml 18-8-503, C.R.S. <br />Thvjorm has beero approved by a4e Mbred Larod Reclaror~orr BoordlsvsaaMro aearon 3~31.~112,GRS., ojrheCelaradoGmrd <br />Rcdmroatioa Adjo- de F~adion of Cnru6vctioro Mahrlah. Airy alrerotlaa o~ modificadon of ffiirjonn aha(l rewlr in voitElrog any <br />pennirirsaed oro dre aEE~ed a aewbJard john aad au6lrssdk yperalariav emseaad desvrarde-s and ci~dl prroadiajor opvalwg+~hort <br />a permitprraaarot to radon .33.5-123, GRS. <br />signed and dated duo S N. day of ~~+ Dina t¢. . _a ao G <br />Thompson Properties o <br />Applicam/Operator arCompany Name <br />If CorpaQation Attest {Seaq <br />Signed: ~~, <br />Title: Partner <br />Stateof Colorado ~ ) <br />ss. <br />County of end D ) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/Couaty Clerk <br />The foregoing instrument was aclvowledged before me this $`~ day of ~Q~-orthar _ ~ S. <br />by Larry Thompson ~ ~ Pam,, n of Thompsom Properties o. <br />My Commission expires: (.~ -5 •ado9 <br />5IGNATURES MUST BE IN BLUE INK <br />bt:hnio~ah,reM~Brtm~cosAm~tim uaaa (Apptvred osn rrraosl <br />