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-~- <br />Certification• <br />Ae an authorised representative of the applicant, I certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. To the beat of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application ie filed, and located within 200 <br />feet of the affected are have been identified in this application (Section 34-32.5- <br />2. No mining operation will be located on lands where such operations are prohibited <br />by law (Section 34-32.5-115 (4)(f), C.R.S.); <br />3. As the applicant/operator, I do not have any extraction/exploration operations in <br />the State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Constructions Materials (Section 34-32.5-120, <br />C.R.S.) as determined thru a Board finding. <br />4. I understand that the statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Claee 1 .....,f„; <br />misdemeanor pursuant to Section 18-8-503, C.R.S. ~t~i'" ;, ~ „ ',~~ <br />>>> . p p <br />~~ ~ •'---~ ~' dpi <br />~` ~~ ' <br />c~ ~. . <br />Signed and dated this / ;~ day of 11C'i~ ( ~~ "'!'~ '~ ~;; <br />~~ ~ /~'1: <br />`~,pplican /`t operato If Corpo~ . At set (Seal) '~~n'• r= <br />By: Albert R. Frei By: .~~~~~~ ''''~~ !'~„',~'-~;~```~`~ <br />~'hn.." ^ ... ~~~~ <br />~ coroorate Secretary Or Ewivalent <br />Title: President <br />/County <br />State of COLORADO ) <br />ee <br />County of ADAMS ) <br />The forgoing instrument was acknowledged before me this o?5 ~ day of /-~~°/L/~ , 2002 , <br />by Albert R. Frei ae President of Albert Frei and Sone`~IQnc. <br />~JpN L ~e <br />9 <br />~~ ~oraQr `~z, NOtary Public <br />~~ Hy Commission expires: /b{/8/.2O6_S <br />09/15/97 1e13xo.iil cn~; tp(/gL~C o0 <br />