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-8- <br />Certttlcatioo: <br />As an authorized representative ofthe applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />1. To the best of my Imowledge, all significant, valuable and pemiartent man-made structure(s) inexistence at the ti~ <br />this application is filed, and located within 200 feet of the proposed affected eras have been identified in this application <br />(Section 3432.3-1 l5(4Xe), C.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited by Iaw <br />(Section 3432.3-113(4xf), C.RS.; <br />3. As the applicantloperatar, I do na have any extraction/exploration operations in the State of Colorado cun;etttty in <br />violation of the provisiarrs of the Colorado Land Reclamatiwr Act far the Extraction of Construction Materials <br />(Section 3432.3-120, C.RS.) as detetrrrined through a Board fittding. <br />4. I understand that statements in the application are being rrm~ under penalty of perjury and that false statements <br />made herein are ptmiahable as a Class I misdemeanor pursuarR to Settion t8-8-303, C.R.S. <br />T141v jwar km beew aDPe's~ bl dFs Al>rruJ LtRl RealasallNr Barrillplesrart a sa~ee 3t-31J-l12.C1[.S, ojrie Color+ade Lawl <br />IttdaaraYlvw.fdjwdlerF.zMmea~rsfCewadroctlrsM AwyrwaradlflaaYlraeJ'dHsjerars~oBriearwt6rwt/lxgaey <br />'enw& Irssrd ow Ilse aldmsr w are/(Jlnf fw+w earl tlrym.Y llrs sPsrarw b caps Ne! /es6e sr~rss a/ dr$Pawelda fir apurafwg <br />nI • ptnrrlt prrsaart m arulow 31-325-123, CRS <br />r <br />Signed arui dated this Z .~ day of .~ v ~w .Z 00 7 <br />If Corporation Attest (Seat) <br />signed{ 1~ ~1a '~-~ <br />Town/City/County Cterk <br />State of ~c7lorac~o ) <br />ss. <br />County of '(V1£5F- ) <br />The foregoing instrurrunt was aclmowledged before me this a3 r o~ day of ~ w~~~, , <br />~~ M ~~o1c1 ~- E 1ar~ as ~i' ~s~de.n~' of ~.~am C.a~-l. UC,~+an ~'r,c <br />~~~~ 12AE C~'v~ ~ _ <br />~r'~NO~i '~' N blic <br />jD~BUG ~ ~ My Commission expires: y ~ 10 300$ <br />SIGNATItitES`loIUST~BE IN BLUE INK <br />M:bmd,haaM,roms~comoa:eo. ~ 11.aoe (App~oee OS/1 I/Z005) <br />Title• /mar ds : oC.t..s7" <br />