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-6- <br />Certification: <br />As an authorized representative of the applicant, I hereby oertity that the operation descnbed has met the minimum requirements <br />of the following terms and canditi~s: <br />1. All necessary approvals from local government have been applied far (Section 3432.5-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) inexistence at the time <br />this application is filed, and k>catod within 200 feet of the proposed affected area have bees identified in this application <br />(Section 3432.5-115(4)(e), C.RS.). (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />Permit boundary.) <br />3. No mining operation w~71 be located on lands where such operations are prohibited by law (Section 3432.5-115(4xfj, <br />C.RS.). <br />4. As the applicant/operator, I do not have any mining/prospecting operations in the State of Colorado currently in <br />violation of the provisions of the Coknado Land Reclamffiian Ad for the Exhaction of Cotuavction Materials (Section 34- <br />32.5-120, C.RS.). <br />5. I understand that statements m the application are being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. 1984. <br />Signed and dated this ~ ~ day of !-P~1/ D o . <br /> <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of ~© /pi'AII~D 1 <br />ss. <br />County of LA~^fs7L'IG. ) <br />The/^foregoing instrument was acknowledged before me this o~ 7 ~ day of ~~J~O.E-iG/`~ , ~, by <br />RANDY L. SVILAR <br />NOTARY PUBLIC I NO ~C <br />STATE OF COLORADO % - <br />My Cammisslan E><plras Sep. 24, 2003 My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />M~mm~s6are\vsro®s\Cmstsuaim110 (10/15P2001) <br />Title: ~1~6~ti <br />