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-~- <br />en ~thaerized repres~ve of the applic~ut, I hereby certify that the operation deserrbed has met fhe minimum <br />uae~ts ofthe follawring t~ aml conditicros: <br />1. To the best of my knowledge, all significant, vahrable and permanent urea-made stnrchrre(s) in existence at the dune <br />this application is filed, and located within 200 feet of the purposed affected area have been identified in this application <br />(Section 3432.5-I15(4)(e), CRS.). <br />2. No mining operation will be h~cated on lands where sudr operations are prohibiud by law (Section <br />3432.5-115{4~f), CRS.; <br />3. As the applieant/operator, I do not have any extraction/exploration operations is the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act far the Extraction of Construction Materials (Section <br />3432.5-120, C.RS.) as determined through a Board finding. <br />4. I tbat stateme~rs in the application are being made under peosity of perjury and that false statements <br />m~e her®n are pmrishable as a Class I pazsaant to Section 1&8-503, CR.S_ <br />and dated this 1st day of June 2005 <br />Asphalt, Inc. <br />orCongnanyName <br />IfCmporationAtte~ {Seal) <br />~~ .. <br />.~: <br />^~~~J ~ ~ ~ <br />_i-_ <br />or Equivalent <br />Director of Quarry Operations <br />TownlCity/Coanty Clerk <br />ss <br />ty of ~ ~(l A~ ) <br />e f w aclozowledged ore me this 1 day of , ,~ D~ <br />1_ ~ <br />r. •y <br />NpTARy'y~= ~~ <br />-„"~ ~ _ ~ 1 <br />P U B L l C' . 8rF N terry Public <br />•., CS~P~r~` <br />r~OF CO~~`°~~~ My Commission expires: ~,~ <br />~~mnuun~~aa <br />SIGNATURES MUST BE L'v BLUE INK <br />nr:~~r,~uao~ vz~ na,saaon <br />