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<br />C~ <br />-6- <br />Certification- <br />:7 <br />As an authorized representative of the applicant, I hereby certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals from local government have been applied for <br />(Section 34-32.5-11O(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(e) <br />in existence at the time this application ie filed, and located within 200 feet of the <br />proposed affected area have been identified in this application (Section 34-32.5-115(4)(e), <br />C.R.S.). (NOTE: For 110 operations, the affected azea includes all lands delineated by the <br />permit boundary.) <br />3. No mining operation will be located oa lands where such operations are prohibited by law <br />(Section 34-32.5-115(4)(f), C.R.S.). <br />4. As the applicant/operator, I do not have any mining/prospecting operations in the State <br />of Colorado currently in violation of the provisions of the Colorado Land Reclamation Act for <br />the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application aze being made under penalty of perjury <br />and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to <br />Section 16-8-503, C.R.S 1984. <br />Signed and dated this ~~ ` day of /!~/7//e,~2~~ , /9~.%. <br />~7`~ ~G~'~/q '~ (~JIG~-(/C~ if Corporation Attest (Seal) <br />Applicant/Operator <br />Signed: /~,_-~-~ ~ N ~2~ Signed: <br />Title: ~/~~. <br />State of <br />) 6a <br />County of ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this day of <br />by <br />as <br />of <br /> <br />Notary Public <br />Hy Commission expires: <br />SIGNATURES MAST SE IH HLIIE INR <br />01/02/96 ?B21FC0.110 <br />