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-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R,S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 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 <br />state of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />ae determined throug:t a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~ day of ~ ~ ~- <br />!~`~I l ~~G~[TiH~LIiT <br />Applicant/Opera or <br />If Corporation Attest (Seal) <br />Signed: <br />~r1 ~~~ <br />Title: _ QZCnC.P~/ <br />State of l~'~-~ ' ) <br />ss <br />County of ~.tiL~i21 yY~ ) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The fore/g/oing innstrument was acknowledged before me this ~_ day of ~ g ~ 7_, <br />by ~a.l~ ~ rd/ as ~ (,CJyI-D~ of ~i~cns~-.-C ,~td. f /~~~C <br />~'~ Notary Public <br />My Commission expires: /b'/2- a ovc.7 <br />01/02/96 28?3FC0.112 <br />