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04;12 PM DOUG CONGER
<br />C ;_ii IC IOn
<br />.g.
<br />;.. en authonrud representalive of rho applic~nt,l hereby Certify that
<br />tl:: ;allowing terms end Catditions:
<br />970 565 8394 P. 01
<br />Dent.its Fav Nn}a 7671 Dele r „p°~,V
<br /> From
<br />lDapr. Co,
<br />.
<br />Pfi ne a ...
<br />P one M
<br />F : A Fat t
<br />u n -_ u
<br />I To the bcsl ofmy knowledge, all significant, valuable and pamenentman-made sttvcturc(sJ in existence at dle time this
<br />application is filed, and faceted within 2tH1 feet of the proposod atTccted area have besYt idontified in this npplieaticxt
<br />(Seelicxt 34.32 5-1 t,5(4)(e), C.R.5.).
<br />2 No mining operation will be located on lands where such operations ore prohibited by law
<br />(Scetion 34,12 5.115(4)(f), C.R,S.;
<br />3, As the applicnnUoperatot, I do not have arty extracliorVexploration optrations in the State of Colorado cttrrcntly in
<br />violation of the provisions of the Colorado [.artd Reclamation Act for the Extraction of Construction Mtumals
<br />(Satitm 34.12 5.1211, C.R.S.) as determined through a Board finding.
<br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements made
<br />herein nee punishable as a Class 1 misdemeanor pursuant to Sxtion 1 B-tt-503, C.R.S.
<br />i'htr jorrt ha: hero approved by the Mired J.and Reefatnadon Boardprr-aranr fo rec0on 3J-31,5-111,CILS, ojtNe C'abnado Land
<br />ReAanaaar Aarjor the Ex7aarion ojConabrcrloa Mareria4~. Any adtaaNon or Iwod(Jiroaton ojaiis john s6aU rnriY rnn wrzdGAg ary
<br />!~rrnririured ar alrr altered a-ntad(Jied fanw and mbJMfha opa~aavrM ctasemrd dviaror+dia aArd cMl psnaMla+jw glnrrbq~ rills/
<br />perneir prr+Alanr to ss9iooe 9J-3J..~J73, C.RS.
<br />Signed and dared dus .. 17"' ,,,._ day of,••~EBRUARY ._`~ ~, _ 21106
<br />McSTONE AGGIREGATF++1, LLC
<br />ApplicanVUpaator or Comparty Name
<br />.. -`_
<br />t .• AR~ /~-
<br />Title.,.,, MANAGER _,_.,,,_
<br />Statcof_.._.._ ,__,,,~Q(~ORADO )
<br />ss.
<br />Countyof,•,,,,•., MONTEZUMA _)
<br />[f Corporation Attest (Seal)
<br />Signed: _.__...,. .. ..`
<br />Corporate Secre or Equivalent
<br />TowtVCity/County Clerk
<br />KATHY STONE, CORPORATE SECRETARY
<br />The foregmnt; inslnunant was acknowledged before me this _.._ 1)Y" day of ^.._. FEQRUARV v_•.,, .... SOB ,
<br />6~ . _,....,,.,, ,. ,_.. DAREN STONE es MANAGER of _Mas!'ON'E AOGtitEC1~A i11GC.
<br />Notary Public ~ ~`a :~ 'r'1•i
<br />. `. • '~'
<br />My Commissionexpirea: ,'?.L?-,.Lp"4.
<br />?;\:,~n
<br />SIGNATURES MUST BE IN ~ ~ "" ~ "', ~~
<br />\/ •mr,bgrr va an 'wvimanrt 111 Jrv (AryIVVOd 01/I lr'lI101)
<br />In;IHn S bile Nl llyd 1'I~.NA'L\~<•\I\'ll\!u\F
<br />
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