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<br />-~- <br />Certificatioa: <br /> <br />As an authorized representative of the applicant, 2 hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 5th day of <br />Agile Stone SVSteR15, 1nC. If Corporation Attest (Seal) <br />Applicantl/~JJJ/~~~~-'~~/Ope-n}(y~}}'f-,or///or Co/mpany Name 7 //~//~~ <br />Signed: T) ~i~(~IX ~L~ Signed: _~/~'_~/ ' <br />Corporate Secretary or Equivalent <br />Title: pracidant Town/City/County Clerk <br />State of COlOradO <br />ss <br />counc¢~of Arapahoe ) <br />The foregoing instrument was acknowledged before me this Std day of `T~ Iy ___._, L~, <br />by Mitchell E. Albert as President of Agile Stone SysteMS, :nc. <br />otar• Pitbi ~~c ;~ <br />COM~Q$SIOPI~EXI>I4ES: <br />My Commission expires: ~pkk~DOf ~j399B <br />SIGNATIIRES MAST B8 IN BLIIE INK <br />06/26/97 2823FC0.112 <br />