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i <br />Dale: 3130/98 Time: 11:19:50 MA Page 2 012 <br />Bill Balaz To: Wally Erickson <br />Mar 30 98 10: SBa ~h White _ 9'926-3727 P•2 <br />Received <br />.-, ~ ,-, <br />MAR 3 01996 <br />-~6- <br />9artiffcatieat oQ~ <br />Divis'DOn ofMinerals ~~ 1 <br />AS an authorized rapreaeat.ative of the appiiram, i hereby certify that the operatics CeaCri>,ed <br />Las met the m+~s..... r~i,..,,,e.,fa of the folloring terms sad ooaditione~ <br />1. All aeoesaary approvals from local e}orerneent haw bees applied !or <br />(s.eti.oa a4-32.s-alo(1)(a)(vsiij. <br />2. To the beet of mY krwwledge, all sign.ificaat, valuable sod pecmaneat saa~-sa:de stzoetara(a) <br />is existence at the ties this application le filed. sad located within 200 feet of the <br />proposed affected area haw been identified in thin application (Section 3a-32.5-115(4)(x), <br />C.R.S_). (a1oTYr Par 110 operations, the affected area includes all leads delineated by the <br />permit boundary) <br />9. Ro miaiaq operation will be located ee leads whxre such operations are purohibited by law <br />(Section 34-32.5-115(4)if), C.R.S. ). <br />!. AO the applicant/operator, I do sot have say miniaq)prospsetinq operations is tLa staex <br />of Colorado cor,.mmtly Sa violation of the p~rwisirnra of- Colorado Iaad Reelamatioa ACt for <br />the Sxtractian of COnstractioa lSaterials (6ection 34-32.5-120, c.R.S_)_ <br />5. I und¢rstaad that atataa~ta in the application are being lade under pmnlty of perjury <br />and that false statements made herein are punishable aB a Claee 1 niedeseanor puraaaat to <br />Seetioa 18-8-503, C.R.S 198{. <br />Signed sad dated this _~_ day of ~ nn-~-. , 9 <br />i~ . <br />L ~ ~ ~ ~ If Corporation Atte9tt ~. <br />Applicant/ for '~.. ",. <br />Signed: ~i >_ ~ ~ r~ Signedr~!'3~}~ <br />Carporatn <br />Title- O/~((~ ~d'~6---- Yow <br />State of COIOY d~O ) <br />) es <br />county of T ~e ) <br />y _~ ~. <br />' J1~.•• Vii <br />sal) - <br />.' <, <br />/yes~J.'.~~1`,' .. <br />t~a}y c? Bqu ivalent <br />Clerk <br />The fozegoiog iastruewt was aekaawledged before ae this a~w da9 0! Arc ~ tg9g, <br />by Fi(es N. 6allesoa as Yrps~dQa} o~ Cbe~ad!°~'t~_ ~a((e~ns 14'(A~o.~r~~~„ <br />p10TARy't botarY Public <br />-o--0~. ~ ay commission a~cplreo- aZ ~r7~~9 <br />pueu~fo <br />~eFY~n O??,~-°*~~ s:a~u-:aRas sasx se n~ acu~ Ia <br />airoz/sslewmim <br />