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<br />C.te crdoo; <br />F- <br />APR 13 2005 <br />Division of M' anal a <br />As an authorized representative of the applicant, 1 hereby certify that the operation described has met tie rrif'lpsY <br />requitr.~ments of the following tttfms and conditions: <br />1. All necessary approvals from local government have ban epplied for (Section 34-32.5-110(lxa~~. <br />2. To the best of my knowledge, all significant, valttableand petmattent tnart-taade structure(s) in exis at the time <br />this appiicationvs filed, and located within 200 feet ofthe proposed affected arts have been identified in this application <br />rSecHon 34.32.5- t 15(4xe}, C,RS.}. (NOTIJ: For l;~p operations, the affocted area includes all lands delineated by the <br />t~,tmit boundary.) <br />No mining operation will be located on {ands where such operations are prohibited by law (Section <br />34.325-115(4xf), C.R.SJ. <br />4. As the appGcanUOperator, I do not have any tnining/exploration operations in the State of Colorado ctrrrcntly in <br />violation of the ptnvisions of the Colorado C.attd Rec-smadon Ad for the 13xtractian of Comttucfion Materials <br />(Section 34-32.5-120, C.RS.}. <br />5. [understand that statements in the application are being made turdd' pttttalty of perjury and that false statements <br />made heron are punishable as a Class l misdemeanor pursttant to Section IS-&503, C.RS. 1984. <br />77ris fonw Nan bsen approved by dkt AtiLred Land Raclarrralion Buatd pwrsrwnt ro aecdon 34-32.5-I]O,C.R.S., OjrNt <br />COlMtida Lewd Reclanwdon AeffardYe P~d1'aC!]OM afCO/lTt7'YC11aR MWer1als. AayalterntYon or Ntod(Jfcalton OflhisfO~nt <br />shall rGStrltLr wridisgary pptwil Lraaedan atreaAteratorrrodlJlaljonwawdsa8lkrtdropuaiorla nrtatanddesistorders <br />and ciroiJ prwuu/tks jsr wrdYear a pNatir prranW m actxfrrt 3F32-I13, GR..>ti <br />Signed and dated this ~_ day of `~~' 7an~ar~ -~96# aDoS- <br />~~_~~~2 <br />~,t1p((f}I(&ltn _ er, Phillips <br />Signed:\~~~ c ~ <br />Title; ©b'uN~(s __.~~E~. <br />State of Colorado <br />TC rte) as. <br />Cotmty of -_ ) <br />Town/CirylCounty Clerk <br />The foregoitDDtg~~iaswmertt was acknowledged before me this ~ `t~ day of Q t'i t/G+Cr ao05- <br />_-,by lwb'Gir~ 7- ~~I~IPS as (- ~. __of <br />r t~ <br />?~ ti, °. -_ <br />I~ <br />. / <br />SIGNATURES MiTST BE IN BLUE INK <br />If Corporation Attest (Seal} <br />Stone Company <br />Signed: .-_-- <br />Corporate Secretary or Equivalent <br />expires: ~!~ <br />