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III IIIIIIIIIIIII III <br />999 <br />-~- <br />Certification: <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.x-IIS(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-I 15(4)(f), C.R.S.; <br />3. As the applicant/operator, I 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 Board fording. <br />4. I understand that statemenu in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this z 6 TN day of SEPTF r~ ~ FJZ <br />2~Op <br />Centex Eagle Gypsum Company, L.L.C. <br />ApplicanVOperator/,orlCompany Name <br />Signed: ° v <br />Title: Plant Manager <br />State of Colorado ) <br />ss <br />County of Eagle ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 2~~` day of ~~~/~-~ Z~oa <br />by S'-~t'.VZ lt,)~vt-}Z-e~ as ~1R.I.~-1-/~ of ~Ll~t.-f-2.~L~~~'~~~cll~~~~r <br />.~ ~' <br />Notary Publi <br />My Commission expires: ~/ 3 / zL'03 <br />SIGNATURES MUST BE IN BLUE INK <br />[f Corporation Attest (Seal) <br />Signed: ~R~ ~ <br />rporn Secretary or Equivalent <br />M:UIII.RSHARFV$FORA/S~I823C013.APP 0'J 10/99 <br />