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-~- <br />Certification: <br />As an auMhotued represeWative of the applicant, I hereby certify that the operation described has and the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permaneatman-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.R5.). <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 applicantloperatar, I do not have any exiraction/exploration operations 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 Board finding. <br />4. I undeastaad That statem~ts in the application are being made ~mder penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanorpucsuant to Section IS-8-503, CRS. <br />Silgnedanddatedthis `~~ day of .tune 2603 <br />4-Q FCF-'~t~ I.(~l~ ~~~~ If Corporation Ariest (Seal) <br />Applicand an Name ~/ <br />Signed: - Signed: ~ / ~' , " <br />Title: ~`"'~ ~' 1~~py>~y <br />1:: ~ w :> <br />State of ~- b ) = ~-' , O '~' ~•; <br />4 ms's c(~'' ~.. ~'~~. _~> <br />County of ~G(0.lNi S ) ~~q'~",f n~vrpb~~#1~LN.~~ <br />ji <br />.~..n <br />The foregoing inctrnme~t was acknowledged before me this ~ day of J l,l Vt e Z ~ '~ , <br />b~~ -fodcl ()h~ hP,iSer as VP/G~ A~r~-c~a-Fes of Zaf~~~e I.Uesf~}Iv~c'. <br />ry ; ;......;,~~, <br />s0~ • OTARr•/y r <br />i ~ c, ~N~ <br />Notary Pu <br />9TF ,•.g l".• Q,P My Coffinission expires: I Z 2 ~ D 5 <br />~F r.Ot,~ <br />Ir1'I~' <br />. /~- <br />M:~miuk6ueWSf~~comtroctiuu uzmc ponsrmo» <br />