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8- <br />Certlfigtioa; <br />As an authorized reprcscntative ofthe applicant, I herelrycatify dlacthe operation described has met the minimum tequirertterua <br />of the following terms and conditions: <br />1. To the best of my knowledge, all signiFicant, valuable and permanentman-made structare(s) inexistence et the time <br />this application is filed, and located within 200 ftx:t of We proposed affected aroa have been identified in this application <br />(Section 34-32.5-I 15(4xe), C.R.S.} <br />2. No mining operation will be located on lands where such operations are prohrbited by law <br />(Section 3432.5-I IS(4xQ, C.R.S.; <br />3. As the applirandopcratoy I do not have any extraction/exptonnian operations is the Stele of Colorado curtcntly in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Constnaaion Materiels <br />(Section 34-)2.5-120, C.R.S,) as determined through a Board Ending. <br />4. I urtdetatertd that statements in the application arc being made under penalty of pcryury and that false statements <br />made herein are punishable u s Class l misdemeanor pursuam to Secton 18-8-50}, C.R.S. <br />Zhtsjoria hm bear approver 69 tbsMlaed Laved Redaamlow Boord parsaaaf ro rculon 34J2S-lJ7,CR$ ojtbs Cobvado Lard <br />Reels)natlondetforU~eFsrroalonojCoarhvcatonMatertals ArgaGerorionornled{JtearlonojOdsjorwsbaAruahiaaoldbrgenr <br />perarA JrsatO oa the altered or arod(JJed jorat sad aabJete the operator m nose and desW orders and elrrl ptndtla jar opermbrg <br />w46aat a pennk paraaent to sevYlon iId2J-173, CRS <br />Signed and dated this ~,~ day of f .~. <br />~~~ <br />ApplicanUOperator or Compar)y Name <br />Signed: <br />Title: /~,(~.C O~ <br />state aP (:Q~nn/~d/ ) <br />G~6e~T )ss. <br />County of ) <br />If Corporation Attest (Seal) ~~~ l~ y" (1' -tx <br />D~ ~~S a (~rPatr~' <br />Signed: I <br />Corporate Secretary or Equivalent <br />Towrl/CitylCountyGlerk <br />The foregain~rostrum~~jyt we~ acknowledged before tnc this ~~ day of <br />-.by_..Xref ~F/uef as~fs~d/.rte <br />SIGNATURES <br />M:v~Nrl+rMkmnxammstlm 112tris (Appmld OSI112W3) <br />expires: ~~~~prr~ <br />