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a • <br />=~- <br />'Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 39-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~ day of .~~id/ . /~?.~' <br />Grand Junction Pipe.& Supply Co. If Corporation Attest ESeai) f - , <br />Applicant/Operator or/C~ompany Name -~,-,~ <br />Signed: ~~.a.i L~j,f`/~ Signed: / ~~i/,p-~~O/,/Ll~~~~~'-- '~ ~~l ^^ <br />/~ Corporate Secretary or"Equivalent <br />Title: Marie Tlppln£ - President Town/City/County Clerk <br />State of Colorado ) <br />ss <br />County of Mesa ) <br />The fore^going instrument was acknowledged before me this ~ ~ da/y of t-1~l`l'n~,,~,] ~ ~~, <br />by ,1 R~~(~~1n~1'nQ as ~'~~~~~ of 1~~11nC.~1~JV11l.I~OTI CI~FeC <br />A <br />My Commission expires: <br />SIGN/-TURES MIST SE IN SLIIE INlC <br />06/26/97 2823FCO-112 <br />