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- 7 - <br />Certification: <br />As an authorized representafive of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, 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 azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operaflons are prohibited by law (Section <br />34-32.5-115(4)0, C.R.S.; <br />3. As the applicanboperator, I do not have any extracflon/explorafion operaflons in the State of Colorado currently in <br />violafion of the provisions of the Colorado Land Reclamafion Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Boazd fording. <br />4. I understand that statements in the application are being made under penalty of perjury and ttrat false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~=day of ~(~ rGh , ~~. <br />Oldcastle SW Group, Inc. <br />dba InitPd f.mm~aniac <br />ApplicandOperator o Company Name <br />Signed: <br />Tifle: V1 Pr cidanL, Radi-Mix/Annrand te5 <br />If Corporafion Attest (Seal) <br />Signe <br />Corporate Secretary or Equivalent <br />S[ateof Cnlnradn ) <br />ss <br />Comuyof Mesa ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 18th day of March 2002 , <br />by Peter J. Siegmund as V:P., Redi-Mix/Aggregates of Oldcastle SW Group, Inc. <br />dba United Companies <br />/J~.2frc9/L f~ /1 •V/~/~6G~ <br />----~ <br />Notary Public <br />My Commission expires: 0 ~ /20 / 2004 <br />SIGNATURES MUST BE IN BLUE INK <br />M:NfIN~BDC0IINFORMSV.823C012APP 10/17/Ol <br />