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<br /> <br />-G- <br />Certification: <br />As an authorized representative of the applicant. I hereby certify that the operation described has met the minimum requirements <br />~f t!:e fellowir,s temrs and cordi!ior.=_: <br />All necessary approvals from local government hate been applied for (Section 34-325-110(1)(a)(ciii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identiFed in this application <br />(Section 34-32.5-I l5(4)(e), C.R.S.). (NOTE: For 110 operations, [he affected area includes all lands delineated by [he <br />permit boundary.) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-1 li(4)(f), <br />C.R.S.). <br />4. As the applicandoperator, I do not have any mining/prospecting operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section 34- <br />32.5-120, C.RS.). <br />5. I understand that statements in the application aze being made under penalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984. <br />Signed and dated this 7 ~~ day of /l/df/C717.4r7L ~` 00 / <br />~~/IL wEsT Fv,e ~Lf}/Yl0$/-~ Ct7Gf~~'~ L'CorporationAtt st(Seal) <br />Applicant/Operator <br />~. <br />/Siened: ~'~~,~i~r// _ ~ ~i/ Sigrte •'1' <br />~iTWl// ~~J.~~ ~.L .., .i ......... .......v ~~--.y,.......,... .s~a~ <br />Title: _~ Town/City/Es tgty ~~ ~ r,,I„ Ay_ <br />L'r'C" <br />/ // / ~ 'o,°' <br />Stateof_ (blbYrir~~ ) ~'a=',~ •° ~` <br />a • QP~~ <br />County of /~'F~C/~~,rgtc ) <br />The foregoing9instrument was acknowledged before me this ~'! day of ,t P , ~, by <br />~~~ ~XJr?'S'{ as /~<~,~ /al~t~4~4 , r~i/' of ~l0hi~®<o ~'~r/- <br />4S.. q,I p T A R Y„ <br />I' ~M_ c otarv ublic <br />~~;.-~ U 8 ~ 1 °:;p My Commission expires~COMMIS~IQNEXPIRES 11(24I~QQ~ <br />SIGNATURES MUST BE IN BLUE INK <br />