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<br /> <br />-6- <br />Certification• <br />Ae 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 34-32.5-110(1)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) <br />in existence at the time this application is filed, and located within 200 feet of the <br />proposed affected azea 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 on lands where such operations aze 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 8xtraction of Construction Hateriale (Section 34-32.5-120, C.R.S. ). <br />5. I understand that statements in the application are being made under penalty of perjury <br />and that false statements made herein are punishable ae a Class 1 misdemeanor pursuant to <br />Section 18-8-503, C.R.S 1984. <br />Signed and dated this J~o2't=day of /997 . <br />rl7/C~111 c""~ ~D~-K~~z i /-f <br />Applicant/Operator <br />Signed: <br />State of ~(.'~<' 7'~/~ ) <br />County of c/ / _lt~l, ) <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this ~~a/yy~of L ~. <br />by ~/L~/AE/ /,'~4ClpT~as ~y,~'Ta,1~.P ~~ \ of ///PP,//5~%Ai°=_,l ~,~,F(S~f~ <br />of/az/vv zez~tco.uo <br />-~ ~. <br />~~ ~ <br />n.~ <br />pp..;,ICIA <br />pAREIA <br />~r'•.. ~ <br />). 1k OF~C <br />Hy Conmission expires: ~~~ :~ ~ //1 <br />