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~~ <br />-~- <br />Certifica do n: <br />as Chairman of the Board of Elbert County Government <br />As an authorized representative of the applicant, I hereby certify that the operation described has me: 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;) in existence at the time <br />this application is filed, and located within 200 feet of [he proposed affected area have been idz7tifted in this application <br />(Section 34-32.5-1 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 l5(4)(f), C.R.S.; <br />3. As the applicandopera[or, I do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Constvaion Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board fmding. <br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-~03, C.R.S. ````xptaTtttCnt:~~~F... <br />Signed and dated this 2nd <br />Elbert County Government <br />ti <br />If Corporation <br />::- - ~J, <br />-®- . ~ <br />SEAL, <br />-®- e <br />~~ OR PQO`~~. <br />Corporate Secret qut,f~ <br />Town/Ci C tC~i~C~~rkt <br />State of Colorado ) <br />5s <br />County of Elbert ) <br />The foregoing ins[rument was acknowledged before me this ~*+d day of FPh r,. a rv ~ ~ inn , <br />by <br />RY <br />~p~.P•---•• !oGB <br />P GFRKAF, ' c <br />~; Hp~ilti, ;- r. . <br />~I:N4NSHARFV;FORM5128:7COII.APP OLI0/99 <br />day of February, 2000 <br />f (O ~ .~ <br />Notary Public <br />/-l(~Gd~ <br />My Commission expiry: <br />SIGNATURES MUST BE iN BLUE INK <br />~~~5 <br />TItIe: Chairman of the Rna rA <br />