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r <br />-~- <br />Certification: <br />As 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 best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(9)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 39-32.5-115(9)(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 Materials (Section 39-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />9. I understand that 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 18-6-503, C.R.S. <br />Signed and dated this 14 th day of January 2000 <br />Tezak Heavy Equipment Co., Inc. <br />Applicant/Operator or Company Name <br />Signed: l~a~..^^-..{~^+1 ~ ~'C,~s'ilr~ <br />Title: President <br />State of Colorado <br />County of Fremont <br />ss <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 14th day of January ~ 2000, <br />by <br />Daniel E. Tezak <br />as President of Tezak Heavy Equipment Co.,_Inc. <br />~..~9... Q . ui'cwe,~' <br />-~ Notary Public <br />My Commission expires: <br />SIGNATURES MOST H8 IN BLIIE IN1C <br />If Corporation Attest (Seal) <br />Signed: ~~~~ <br />Corpo ate Secretary or Equivalent <br />Mav 16. 2003 <br />04/25/97 2823FC0.112 <br />