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• <br />.Certification: <br />o'=C~IV~D <br />-7- <br />J{1N 2 71~~7 <br />Pmmion m n~~nN~ar, e. :.,,,a~~~~ <br />Ae an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the beet 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 proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />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 the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction liateriale (Section 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understend thnt statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to section 18-8-503, C.R.S. <br />Signed and dated this 3rd day of January , 1997 <br />AJJpplican'y't11-(~~/Operator \,, - <br />Signed: ~/~+~'"1C~J ~ ~Lf)r . <br />Title: Otarn Cnnnty Anninaar <br />State of C'nl nra rln ) <br />ss <br />County of Otero ) <br />if Corporation Atteet,~(Seal)- <br />f.:.... <br />~•'•1' rporate Secretary or Equivalent <br />E ~L '~ •Tewrt~Eiky~/COUnty Clerk <br />The foregoing instrument was acknowledged before me this 3rd day oP January _1997, <br />by KPlf~lal'}~ S_ Parker as County Engineer cf Otero County <br />~. C~~,~ <br />01/02/96 2623P'C0.112 <br />S~~ <br />expires: ~~~^"~ <br />• <br />