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<br /> <br />-~- <br />Certification: <br />As an authorized representative of the applicant, <br />described has met the minimum requirements of the <br /> <br />-~~ 01 i959 <br />~_ <br />I hereby certify that tine operation <br />following terms and ~Jioa~i~~y~,¢}',58Geology <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-6-503, C.R.S. <br />Signed and dated this 29th day of January 1999 <br />_. <br />Sand Land, Inc. If Corporation Attest (Sea?}-~- - <br />Applicant/Operator or Co any Name :\ <br />Signed: ~ C^ / Signed: ~ ;--~ - Y - ` <br />Chr stopher L. Varra Cor orate S~ r tar <br />p ~, y qr Equiv'alent' <br />Title: President Town/City/County Clerk---~ <br />State of ~~~/i~~j.~!(ft.~ ) <br />ss <br />~ ~ I <br />County of ~t i /.~' i ) <br />The foregoing instrument was acknowledged before me this •~ ~ day of ~~ ~ !~ <br />// <br />by (~hY~.)~nhea- ~ . (~~ .rrc~ as ~~ S( G~C!?.7'- (~ <br />of ~J CFI~1 i <br />C~ ~Q I~IC.Q ~ ~t./1 <br />('. ' <br /> <br />Notar~/ Pubrl~ic ~- <br />My Commission expires: /~/7~, ~~ ~ - <br />SIGNATIIRES M[75T BE IN BLIIE INK <br />06/26/97 2823FC0.1'_2 <br />