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6- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of <br />the following terms and conditions: <br />All necessary approvals from local government have been applied for (Section 34-32.5-110(I)(a)(viii). <br />2. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time this <br />application is Sled, 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.SJ. (NOTE: For 110 operations, the affected area includes all lands delineated by the <br />permit boundary) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-1 IS(4)(f), <br />C.RrS.). <br />4. As the applicandoperator, I do not have arty mining/prospceting 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 <br />(Section 34-32.5-120, C.R.S.). <br />5. I understand that statements in the application aze being made under penalty ofperjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984. <br />Signed and dated this _~~of c ~®4 7'` <br />If Corporation Attest (Seal) <br />~t Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this _ day of , ~, by <br />~70S 2nh ~?.hb~-c~rO tTras .~~r of ~ 11 <br />~ .~tu2~!~nt~~- <br />Notarv Public r~ <br />My Commission expires: A'~~~A~2On <br />M:\min~share\vsfomvs\Consimclionl 10 (05/06/2003) <br />SIGNATURES MUST BE IN BLUE INK <br />~ ~ ~~~XS'~ C~r <br />Applicant/Operator <br />