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.. <br />Certification: <br />- 6 - <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of li <br />following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.5-I10(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time th <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application (Secfion 34-32.. <br />115(4)(e), C.R.S J. (NOTE: For 110 operations, the affected azea includes all lands delineated by the permit boundary.) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f), C.R.S <br />4. As the applicandoperator, I do not have any mining/prospecting operations in the State of Colorado currently in violation <br />the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S. <br />5. I understand that statements in the application aze being made under penalty of perjury and that false statements made here <br />aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S 1984. <br />Signed and dated this <br />12 <br />day of APRIL <br />James R. Schauer <br />ApplicanUOperator `"~ln/ <br />Signed: `~ /\ ` SCI (.~CL'~^ J <br />Title: Chairman <br />S[ateof Colorado ) <br />ss. <br />County of Fremont . ) <br />The foregoing instrument was acknowledged before me this 12 <br />Sames R. Schauer <br />as <br />Chairman <br />2002 <br />If Corporation Attest (Seal) <br />sign r <br />Corporate Secret or Equivalent <br />~oxuf/C-iEyfCourity Clerk <br />day of April <br />of Fremont County <br />2002 1 <br />otary Public <br />My Commission expires: / ' 6 -T U~'oZ <br />SIGNATURES MUST BE IN BLUE INK <br />M:1,blIN~SHARENSFORMSL821CO10.APP ]0/15/01 <br />