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Certification: <br />-~- <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />I. To the best of my Imowledge, all sign cant, 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 identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No minimg operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), C.RS.; <br />3. As the applicant/operator, I donot have any extraction/explorationopemtions 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 <br />34-32.5-120, C.RS.) as determined through a Board fmdthg. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section I8-8-503, C.RS. <br />Signed and dated this ~ 84~ day of M A Rc H , 2 0 0,5 . <br />~~ £ N T C o ,c1 N T 4 If Corporation Attest (Seal) <br />Applicant/Operatar or Company Name <br />Signed: ~ Signed: ~/'~r <br />CHHS.RMAN, <br />Title'~3 Enr-r c o. G o nn nn= ss=.a N E R.S <br />State of >` o t_o 2Raa ) <br />} ss. <br />County of~ F NT 1 <br />4'ewcdEity/County Clerk <br />The foregoing instrument was aclmowledged before me this ~ 8 ~ day of M A a ~ r+ __,e2o 05 . by <br />Lo Nn~r/ 1=, ta2LL 8S GHAxRMR~I Of$ENT co, GeMM=SSSaN E4S <br />Notary Pub 'c <br />My Commission expires: 'f'~~' ~/.S <br />SIGNATURES MUST BE IN BLUE INK <br />M:4ninWue\vcCmesK:m~m~wtian 1I2.dac (10/152001) <br />