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<br />,- <br />Certification: <br />OCT 2 9 2001 <br />Dio+aion of Miaerels awd GeoloGY <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />1. To the best of my lmowledge, all signiScant, valuable and permanent man-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f), <br />C.RS.; _ <br />3. As the applicantloperator, I do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Mate~als (Section <br />34-32.5-120, C.RSJ as deterntined through a Bcazd finding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. <br />. ,:...,. <br />Signed and dated this 9th day of October 2001 <br />r. '- - <br />Fort Lvon Canal Company IfCorporatioa•Aft.°st(Seal),~; '^ <br />AppGcanUOperator or Company Name /~ /~ , ~ '' • ~' "• • <br />Signed: ~~*~-~^~-~ t°~ra ~ vaz~~igned: _ L~+or~..G ~/C~,.h`C/tf~- <br />Manuel Torrez Robert Reed, Jr Corporate Secretary or Equivalent <br />Title: Superintendent President Town/City/CotmtyClerk <br />State of COLORADO ) <br />ss <br />County of BENT ) <br />The foregoing instrument was aclozowledged before me this 9th day of October 2 0 O 1 , <br />by Man ~ 1 morn as S3ipPri ntanAPnt of The Fort Lyon Canal Company <br />- Notary Public <br />= ~',',.. senE <br />.. ~.,; vwou'e5: xpires&10.2003 <br />v - - - My Commission expires: <br />-~ ~'.' . <br />~{ ~~ ,:~~ <br />SIGNATURE§'MUST BE~i1V BLUE INK , . <br />