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<br />-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />I. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-! IS(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-I 15(4xf), C.R.S.; <br />3. As the applicant operator, f do not have any extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions oti the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120. C.R.S.) az determined through a Board fmding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable az a Clazs 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this / OT r~ day of May <br />2000 <br />CA^IAS Colorado, Inc. <br />Applicant/Operator orCompany Name <br />Sign <br />^tichae C. efer <br />Title: Vice President <br />State of t-brti ut-G~O-~ ) <br />Town/City/County Clerk <br />ss <br />County of a.Oi~J ) <br />The foregoing instrument was acknowledged before me this /()~'r" L day of ~ ?G~~, <br />by MlCIf~.L C ~ l?t:FiER az JIGS t~RFS//~F.nfT of rzlllu'ISiKf1TIDly' <br />r •. <br />apTA p} ; l,t, Tune <br />~~~ Notary Public <br />~ ~~ My Commission expires: <br />~8~~ <br />[f Corporation Attest (Scat) <br />Signed: ti~--~"^~l~'1-,l`~t ~~~~ <br />~~-~ Corporate Secretary or Equivalent <br />Ay~t~eE7pYMtlACr~003 SIGNATURES MUST BE IN BLUE INK <br />,N V.4NlSHAREIVSFORMSV833C013.APP O1/1Q'99 <br />