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RECEIVE® <br />- ~ - NOV 10 2003 <br />Certifirallon: Division at Minarala antl GsalopY <br />As inn representative ofthe applicant, I hereby ~Y that the operffiaa described bas mettheminiamm <br />of the fallowing terms and oaoditicros: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made strucdrte(s) in e)ostence 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), CRS.). <br />2. No mining wffi be kcated an lands where such operations are probbited by law (Section <br />3432.5-115(4~f), CRS.; <br />3. As the applicant/operator, I donot have ~Y eadraction/exploration operations in the State of Colorado crutently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Eartraction of CoaStruction Materials (Section <br />3432.5-120, C.1LS.) as determined through a Board finding. <br />4. I understand that status in the apples ate being made ceder penally of perjury and that false statements <br />made herein ace pimisbable as a Class 1 misdemeanor pursuant to Section 18-8-503, CRS. <br />Signed and dated this 26th day of August 2003 <br />Varra Companies, lnc. <br />Applicant/Opeaatar or Comp ame <br />Signed: ~"" <br />Chri topher L. Varra, President <br />Title: PRESIDENT <br />If Corporation Attest (Sea!) <br />Signed: ~~lAa/ <br />Corporate Secretary or Equivalent <br />State of [_~~or~~do <br />J ) ss <br />County of ~2I(1 <br />Town/CitylCormty Clerk <br />The foregoing inctnlmenf was acknowledged me this ~ day of ~ T ~~, <br />1 ',// <br />by CI1T~~,~~ ~.,V~~a as PS;~nf of LYa r1 ~ <br />z <br />Notary Public <br />My co~sion erzpites:1~3/ !~/ <br />SIGPiATURES MUST BE IN BLUE INK <br />M'~M5mk6cros4Cmmstim 1 VJm C1M52001) <br />