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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 nvnirnum <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) inexistence 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 J. <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), C.RS:; <br />3. As the applicantloperator, I do not have any extraction exploration operaflons in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.RS.) as determined through a Boazd fmding. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 5rh day of February 2002 <br />Oldcastle SW Group, Inc. <br />ApplicanbOperator or Company Name <br />If Corporation Attest (Seal) <br />Signed: t ~cc~iG <br />Title: Chief Operating Officer <br />Sta[eof GOL012f9-DC7 <br />ss <br />County of LA- PLI}7f4 <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this .~ day of (=ei lYt AGa rU ,~, <br />by_ U~n-i-ter ~`. ~reYl arch; (~rtz~4irl~C~fEicetr of ~,~Irfl^r7~i-le Su.7 ~'vc~u~(J i-nc <br />aoTARr <br />c~Q~d Notary Public <br />My Commission expires: 5~~-~~ <br />SIGNATURES MUST BE IN BLUE INK <br />Signed: <br />C orate Secretary or Equivalent <br />~omroi <br />