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-7 - <br /> Certification: <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 knowledge,all significant,valuable and permanent man-made structure(s)inexistence at the time this <br /> 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.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.R.S.; <br /> 3. As the applicant/operator, 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 Materials (Section <br /> 34-32.5.120, C.R.S.)as determined through a Board finding. <br /> 4. 1 understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class I misdemeanor pursu t to Section 18-8-503,C.R.S. <br /> Signed and dated this day of <br /> peor� Elie, <br /> 12"�`, If Corporation Attest Seal) <br /> Applicant/ er5to or Compan e ) <br /> Signed: Signed: <br /> Corporate Secretary or Equivalent <br /> Tide: 41 /4rZ Town/City/County Clerk <br /> State of G'o%Pade7 1 <br /> Countv of �7Q/' �fd )ss <br /> The foregoing instrument was acknowledged before me this day of Se,4 APM Le ALOOO <br /> by k-t J 409� S�P,yI!!10t O.3 as Aies,r/,rn-f of ,Q0 r.:,in i DiyC �vSowteS. <br /> (DSI <br /> N Public <br /> MyCommission expires:GNATURES MUST BE IN BLUE INK <br /> Wm..b.."fm QS27COQAPP(07/17/2000) <br />