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-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation descn'bed 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 identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No arining operation will be located ~ lands where such operations are prohibited by law (Section <br />34-32.5-115(4xf), C.RS.; <br />3. As the applicanVoperator, I do not have a~ 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.RS.) as determined through a Board finding. <br />4. I undeastaad that statanrents in the applicarion are being made ands penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, CRS. <br />Signed and dated this _J a day of `-t ~~I.l~r l~0~ ~~. <br />Louisiana Land and Gravel Company, LLC IfCosporationAttest(Seal) <br />Applicant/OperaYOr or Co~a~ N <br />signed: srgned: <br />Michael A. DeJohn <br />Manager <br />Title: <br />Stateof_~4(,(ISiGY~G ) <br />n ) ss <br />Count,,• of7 ~~'~ ~2` t~ ~ n Vl 9 ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />~~ <br />The foregoing instnmm~fetntfwas acknowledged before me this ~_ day of ~2.C] P lia rf! , ~aU ~ , <br />by M . ~ ~~-1~I.I°,~n{~ vl as m4 n o ~ p, r' of }~ ~,~ nra Q ~ G, n2 u~e ~ C O. L/{~ <br />No[arv Public <br />My Commission expires: IP - ~ ~ ` D 7' <br />SIGNATURES MUST BE IN BLUE IPII{ <br />M:~ukune~c~uocnm uzaoo parsrlao» <br />