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- 7 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following tertns 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 area 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 operations aze prohibited by law (Section <br />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 State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Conswction Ntaterials (Section <br />34-3Z.5-I2Q, C.R.S.) as determined through a Board fmding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. <br />Signed and dated this ~_ day of ~~ ~ a o0 a <br />DIICKELS CONSTRIICTION, INC. DBA YAMPA AGGREGATES If Corporation Attest (Seal) <br />Applicant/Operator or Company Name <br />Signed: Signed: .rrC' t~I ~.QXg,~~ <br />Corporate Secretary or Equivalent <br />Title: PRESIDENT <br />State of COLORADO ) <br />ss <br />County of ~~ ) <br />Town/City/County Clerk ' <br />The foregoinglinst^ru~menot was acknowledged bef-7o~re me this ~ day of n ~ I c7 DDoZ. , <br />by fired t-F. .Vllcll.2~5 as YYpSiCI>>i'} of ~Aa~S 5"O'bcc{1~071, T.'C• <br />Q <br />otary Public <br />My Commission expires: 0 <br />SIGNATURES MUST BE 1N BLUE INK <br />M:U4N~SHARE\VSF0RAL512827C012APP 07/I0/99 <br />