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c <br /> <br /> <br />Certification: <br /> <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(9)(f), C.R.S.; <br />3. As the applicant/operator, 2 do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this c~/ti day of ~Ce^>de~' <br />Grand Jnnrtinn PTne h SnRR,y Cn_ <br />Applicant/Operator or Company Name <br />Signed: ~~~t2</ (' <br />i <br />Title: Marie Tinpinr„ President <br />State of Colorado ) <br />ss <br />County of Mesa ) <br />~ S~i-l <br />If Corporation Attest (Seal) <br />Signed: / bCrin/.,~.~J..~• ~ ~ ~ _~ <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this ~Z`"day of ~~.G~*i+T~bo/, ~, <br />by Marie T;~yn;ng as President of Grand Junction Pine b Supply. <br />~~~ ~ <br />Nota Publi <br />My Commission expires:y ~ bo <br />SIGNATIIRES MAST 88 IN SLIIE INK <br />06/26/97 2623FC0.112 <br />