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• —7— <br /> Certification• <br /> 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 /> as determined through 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 is day of -T.�Z� 9hi-72 , /976 <br /> �E� �Anlu/Inl L rni=c U/fGT„ Cow/ If Corporation Attest (seal) cA�✓yd <br /> A plicant/Operator <br /> /ned: Signed: <br /> Corporate Secretary or Equivalent <br /> Title: 499 2 Town/City/County Clerk <br /> State of <br /> ss <br /> County of Fle6-,4&1ur ) <br /> The foregoing instrument was acknowledged before me this 1Y!T+ day of rPtpRmbES�-1 1 , <br /> by�'pMiL1 C '�Afi eA, <� as Mf1 of��� CPnuen Li*, l Llaj* <br /> N. Notary u lic <br /> My commission expires: <br /> Ol/02/96 2WFCO.112 <br />