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-~- <br />Certification: <br />As an authorized representative of [he applicant, I hereby certify that the operation described has met the mininmm <br />requirements of the following terms and conditions: <br />1. To the best of my lmowledge, 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 34-32.5-115(4)(e), C.RS.). <br />2. No minhtg operafion will be located on lands where such operafions aze prohibited by law (Section <br />34-32.5-115(4)(f), C.RS.; <br />3. As the applicanUoperator, I do not have any extraction/explorationoperatlons in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extracflon of Construction Materials {Secion <br />34-32.5-120, C.RS J as determined through a Boazd finding. - <br />4. I understand that statements in the application aze being made under penalty of perjury and that false Statem^nts ~': <br />made herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. - - -- -~ - <br />-~- %= <br />Signed and dated this 15th day of February , 2002 - - <br />Oldcastle SW Group, Inc. DBA <br />Four Corners Materials <br />Applicantl0perator or Com/pony Name <br />Signed: L~'(C~` <br />Title: Chief Operating Officer <br />If Corporation Attest (Seal) <br />Signed: <br />C orate Secretary or Equivalent <br />State of Colorado ) <br />ss <br />County of La Plata ~ <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 15th day of February 2002 , <br />by Victor A Boren as Chief Operating Officer of Oldcastle SW Group> Inc. DBA <br />Four Corners Materials <br />v~ <br />~pTARY ~ t // v~ <br />p ~G Notary Public ~ <br />U8~- _o° <br />My Commission expires: b~f D~'D~//'7"~Q~ <br />SIGNATURES MUST BE IN BLUE INK <br />M:V+1AnHDPhI1NPORMSV,B23C012.APP 10/17/01 <br />