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FROM :LJ DEVELOPMENT INC FRX N0. :7195830768 Dec, 19 2006 11:23RM P6 <br />j' Cerlifieatio <br />-8- <br /> <br />As an authorizedrepresentative ofthe applicant, I hcrebycertifythatthe opcrationdeseribed has tractthe minimumrequirements <br />pFthc following terms and conditions: <br />1. 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 ofthe proposed affected area have been idrntified in this application <br />(section 3a-32.5-1IS(aXc), c.RS.). <br />2. No ttdning operation will, be located as lands where such operations ate prohibited by taw <br />(Section 3432 5-1 1 5(4xf~ C.R.S.; <br />3. As the applicandopetator, I do not have arty eztractiodexplotation operations in the Stair of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act For the Pxtractioa of CoiutntcNon Materials <br />(Section 3432.5-120, C.R.S.) as determined through a Board fording. <br />.J <br />If Corporation Attest (Seal) <br />Signed; <br />Corporate Secretary or F.quivalcnt <br />Town/Ci.ty/County Clerk <br />4. I understand that statements in the application are being trade under penalty of perjury and that false statcrrxzrts <br />made herein are pttaishable as a Class 1 misdenteattor puriusrtt to Section 18-8=503, C.R.S. <br />This form has btea approved by drsMured Zaad Reriamarloa Board parsaaM ro sedioa 34-315-111,GR.S, afdu Colorado Load <br />Redaaratraa Actjorrhe Fadract+oa ojCanmacriaa Materials. Asy alterariaa orwedijteadoa gt'thlsjona stroll resxltln voidLrg any <br />perms issued oa the altered er mad(/ltd form sad arrbjea' o4e oparator m cease sad desist erderr sad civr7peaaltiesfor oporariag <br />whRevl a pniaApursaaat M <eCHOn 31-32.5-123, GB.S. <br />Signed anddatedthirrs•. ~~} dtayof n~L•V C bn ~~r ZV~ (.v . <br />~tr. iii, ~, l~[t(tdYG(,iV {-f <br />Statcof ~i~tl,.t'~I,~~k~ 1 <br />ss. <br />Counryof ~ L(34(2T ) <br />The foregoing instrument was aclorowledged before me this ~~ day of 1 yGk~~,M /~~ <br />I~Iy <br />SIGNATURES ARIST HE IN BLUE INK <br />~~_ a+~m.,ro,~r~.~nzm~(hpaweaovti~aos) <br /> <br />a~~ <br />Title; ~ W n e.r ~ <br />