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-7- <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />Y. To the best of my knowledge, all significant, valuable and permanent man-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 3432.5-115(4)(e), C.RS.). <br />2. No mining operation will be -ocated on lands where such operations ate prohibited by law (Secion <br />3432.5-115(4xf), C.R.S.; <br />3. As the applicanUopetator, I do not have any extractiotJexploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction lvtaterials (Section <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4. I understand that statements in the application are being made under penahy of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 1 &8-503, C.R.S. <br />Signed and dated this _~ day of f <br />If Corporation Attest (Seal) <br />Signed_ <br />Corporate Secretary or Equivalent <br />TowdCity/County Clerk <br />Stateof C ULdQ~-:t7p <br />ss <br />County of <br />The foregoin~mstrument was aclmowledged before me this ~~`~~l day of h 00.3 <br />by ~irl[.~ J)n V PIr7P./7~5 as ~,~0 of E(„ / ~. <br />Notary Public <br />My Commission expires: ~ /- //-~~ <br />SIGNATURES MUST BE IN BLUE INK <br />atvm+~sw~rt6~vswnMSiauco~x.~w ay~orss <br />Western Gravel, Inc. <br />ApplicanUOperator or Company Name <br />