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_g. A Cel'tlGCatlOa: As an authorized representative o£the applicant, I hereby certify that ttte operation described hag metdae mieiaamaregcurmtars d the fdlowing terms and ceoditions: I. To the best of my knowledge, all signiScant,valuableand permaneat mm-made strums) in existeaee at the time tl~ epplicatioa is Sktd, and located within 200 feet of the proposed affected area have been identified in this application (Section 34-32.5-t l5(4xe), C.RS.). 2. No mining operation will be located on Lards where such operatioag ace prohibited by law (Section 34-32.5-115(4xfj, C.RS.; 3. As the applicarn/operator, I do not have any extrsctioa/exploradaneperations in the State of Colorado currently in violation of the provisiacs of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Sectioa 3432.5-120, C.RS.) as dttetmir+ed through a Board fording. 4. I understand that statements in the application are being made order penalty of perjury and that false statertteats made herein are punishable as a Class I misdaneartor pursuant to Sxtian 18-8-503, C.RS. 77th jornr Asa Agar apprmrd by rAe Alirtd Land Rater Board Qrrsaa~t m aectimi 3f-325-113,GRS. ujdYe Colorado Lmrd Radaawdow Adjor rAs Exarae8oe ojConmrrcNoe Afatertob. Awy aUaa0los or aodTJ7coAioe oJrAia jann sAaII r®aB rN say parwitiswedow/MaaMeradornrodtflsdjonwmidaxbjectdYtapaa0ormcauraoaddabto-dosoadcJrilparobb a p~aneltPaaaraMdo aaiadow 34-31.5.124, GRS Signed~ynn~a/nd date/d this _ Z/f `-day of ~2 G D d "~d //(fEKG{ C~rifGl/..C.t~• .LK C. ~~` r ,~ i c. ~ _~ ~r .Z'-r~ _ If Corporation Attest ( ) Appli~ or Campatry Name Signed• ~Of•~Y.P~e`' Si • ~ Corporate Title: LINDA L. ~= Tong/City/County Ckrk RINDERLE i ~• f Stateof i ) ~•~~~••• i ss. County of_ The going ' araaot was srJmowledged before me this ~~ by l i as ~ea..~:c~-~-..~ SIGNATURES MUST BE IN BLUE INK ~:w~ ~it.m~ carpowaovtcrzoo~7 My Commission expires: ~c~ a60