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• _7_ <br />Certification: <br />Ae an authorized representative of the applicant, I certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. To the beet of my knowledge, all significant, valuable and permanent man-made <br />structure{e) in existence at the time this application is filed, and located within 200 <br />feet of the affected are have been identified in this application (Section 34-32.5- <br />2. No mining operation will be located on lands where such operations are prohibited <br />by law (Section 34-32.5-115 (4)(f), C.R.S.); <br />3. As the applicant/operator, I do not have any extraction/exploration operations in <br />the State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Constructions Materials (Section 34-32.5-120, <br />C.R.S.) as determined thru a Board finding. <br />4. I understand that the statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Claee 1 <br />misdemeanor pursuant to Section 18-B-503, C.R.S. <br />Signed and dated this _~_ day of , ~~. _ ': <br />Applicant/operator <br />By: Michael L. Rion <br />Title: <br />State of COLORADO ) <br />se <br />County of DELTA ) <br />If rpor ion Att et Sea-l~ .. ' <br />Corpor e e r tar'y or ~Eg1Li4ia lent <br />Town/City/County Clerk~~~ <br />The forgoing instrument was acknowledged before me this_~ day of~, 1997 , <br />by Michael L. Rioo as Agent for of Delta Sand and Gravel CO. <br />04/25/97 ~ 2823FC0.117 <br />~he%rra~ a1~ ~/~~~^<r~ <br />~( D SOX t-~.t Notary Public <br />~jc`zW. C.O. $~~1(c <br />My Commission expires: 1~'~~<G~ C)I <br />