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.~_ <br />Certification: <br />As an authorized representative of the applicant, I heroby certify that the operation described has met the mirrimum requirements <br />of the 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 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.RSJ. <br />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 aothave any extractionlexploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Conswction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Boazd 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 />Signed and dated this 9th day of October 2007 <br />Fort Lyon Canal Company <br />Applicantlpperator or Company Name <br />Signed: ~~~-`~ t a -- <br />Manuel Torrez <br />Title: Superintendent <br />State of COLORADO ) <br />SS <br />County of BENT ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 9th day of October 2 0 O 1 , <br />by Manual Torrez as S„ngr;,,+ar,Aa.,+ ofThe Fort Lyon Canal omDan. <br />Notary Public <br />F,r Goa~rniuien Expues 6.9G20('n" <br />My Commission expires: <br />If Corporation Attest {Seal) <br />Signed: C~in.L y~ /Y~/t~- <br />Corporate Secretary or Equivalent <br />SIGNATURES MUST BE IN BLUE INK <br />