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• i~ECEIVED <br />- ~ - NOV 0 1 2000 <br />Certification: Division of Minerals and Geology <br />As an authorized representative of the applicant, 1 hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />I. 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-I 15(4)(e), C.R.S.). <br />2. No mining operation wi{I be located on lands where such operations aze prohibited by law (Section <br />34-32.5-I 15(4)(F), C.R.S.; <br />3. As the applicanUoperator, 1 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 are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this z (o T ~ day of SEPTF M b F_/L <br />Centex Eagle Gypsum Company, L.L.C. <br />Applicant/Operator/,orlCompany Name <br />Signed: ° `~ <br />Title: Plant Manager <br />ZOOp <br />If Corporation Attest (Seal) <br />Signed: V • esL ~(tJ cQsn~ <br />ora Secretary or Equivalent <br />Town/City/County Clerk <br />State of Colorado ) <br />ss <br />County of Eagle ) <br />The foregoing instrument was acknowledged before me this z~~` day of s~~-t'k~ 7~CZJ <br />by ~2?.t/2 li~~V~+'C~e ~' as _ ~)CL.w-t-~lCl~t~-GZQPX' of ~ - , r'~'~ ~ v <br />t'.e, , c. . G. <br />c `I. ~o~z7/ca <br />Notary Publicu U <br />My Commission expires: g~3/ Z~03 <br />SIGNATURES MUST BE IN BLUE INK <br />MU9MSHAREVSFORM5~821COI1.MP OLIO/99 <br />