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-8- <br />Certification: <br />As as authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of <br />the following terms and conditions: <br />1. To the best ofmy ~owledge, ell significant, valuable acrd permanentman-made strucdrre(s) is existence at the time this <br />application is filed, and located within 200 feet of the proposed affected area have heal idemified in this application <br />(Section 34-32.5-115(4xe), C.RS.). <br />2. No mining operation will be located on lands where such opaetions are prohibited by law <br />(Section 3432.5-115(4xf), C.RS.; <br />3. As the applicandoperator, I do not have a~ extraction/exploration operations in the State of Colorado aurently in <br />violation of the provisions of the Colorado Land Reclamation Act fm the Extraction of Construction Materials <br />(Section 34-32.5-120, C.RS.) as detamiaed through a Board finding. <br />4. I emdastand that statements in 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. <br />Thh jorne bas ban approved by die A!"exedLand Rec/axeamfox Board peertreaxt m section 3J-32S-I11,GILS, ojrhe Colorado Lang <br />Redanation Adjor the F.amadion of ConsEraclton MateriaG. Any aiteradon or nwdiflca<ion ojdeirjohn ahaRraee@ fn voidaeg any <br />paadt irsered on Bee aCered or nwdifiedjonn and seebjed the operatorto cease axd desist orders and avilpereaBJajoroperadrrgxtihord <br />a perneitpernamd to.rarion 3h3~S-133, GRS <br />Sigaedanddatedthis 4th day of January 2007 _ - . <br />HOLCIM (US) Inc. If Corporation Attest (Seal) ^,~ <br />Applicant/Opaator or Comparry Name _ /7 "; , ! ~ - <br />Sign~~p~~~~! O'~CS~p~ Signed: m•~ , <br />AYS1. Co poiate Sxretsry ~~A~ali!sty <br />Title: OUARRY % RA[d MATF,RIAT,S MAN9f~,R 'I`$~/J~Q~ <br />State of l~~i~t?~~J ) <br />ss. <br />County of ~~~9r~~ 1 <br />The foregoing instnnnent was aclmowledged before me this ,~~ day of <br />by y`/,Gi'.CQ/~P ~ ~ as ~ 01~ R~~ <br />~/5~~. <br /> (p <br />. -~' <br />~ - `-' • ~~ Notary Public <br />_ <br />- = =' ~ =' <br />- <br />' i~ <br />~ <br />,. '= <br />'•` <br />' ~ D 8 <br />My Commission expires: <br />~>~ <br />^ <br />L __ s <br />~_ <br /> <br /> <br />'` ~. ' - - SIGNATURES MUST BE IN BLUE INK <br />M:~w~~~ i ix~ tnppoved osn ~noosl <br />