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6- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />All necessar}~ approvals from local government have been applied for (Section 34-325-110(I)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structwe(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). (NOTE: For 110 operations, ihre affected azea includes all lands delineated by the <br />permit boundary.) <br />3. Vo mining operation ~~,11 be located on lands ~shere such operations are prohibi'H,d b} law (Section 34-32.5-115 (4)(f), <br />C.R.S.). <br />4. As the applicant/operator, I do not have any mining/prospecting op ations in the State of Colorado currently in <br />~zolation of the provisions of the Colorado Land Reclama*don Act for the Extr 'on of Construction Materials (Section 34- <br />32.5-120, C.RS.). <br />5. I understand that statements in the application aze being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pwsuant to Section 18-8-503, C.R.S. 1984. <br />Signed and dated this nZ ~ S'4' day of ~ (y, r f U ~ f7 O 5 <br />:~~ <br />L` Corporation.~,i~est (Seat).. <br />_? <br />Signed:r~/ <br />Corporate Secretary-ors <br />~, <br />~_ <br />uivalent <br />Town/City/County Clerk <br />State of CO~OfQs~U ) <br />ss. <br />County of L,QS I~Y) i mi4S ) <br />The foregoing instrument was acknowledged before me this e~ ~ sr day of ~(?l l/ltl(Y-y' V a OUS , by <br />{~obe~rt L. Valdez as ('cntta'l~ ~c~ynrnisS'wner of IBS ~him~as Potlnfy <br />~_--~ <br />~_ _ _ =; <br />= N tazv Public <br />~'~' - - - ` ~~ My Commission expires: S-aJ-'~ <br />Ohl. __ <br />r-„ ~ . %~ <br />"`""""" ~ - ~ SIGNATURES MUST BE IN BLUE INK <br />M:~min\shaze\vsfocros\CwshuiSion110 (1011 5 /2 0 0]) <br />Title: \ ,Y \L~. ~ ~( YYI d Yl <br />