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04/01/02 MON 15:40 FA% 9702411516 ' Certification: Minerals & Geology G Jet - 7 As an authorized reprrsentauve of the applicant, f hereby certify that the operation described has met the minimum requirements of the following terms and conditions: 1. To the best of my knowledge, all si~ificant valuable and petmanantman-made structure(s) in existence at the time this application is filed, and located within 200 feet of the proposed affected area have been identified in this application (Section 34-32.5-I IS(4)(e), C-R-S.). 2. No mining operation will be located on lands wheresuch operations are prohibited by law (Section 3d-32.5-IIS(4)(f), C-R.S.; 3. As the applicant/opetator, l do not have any eettaction/exploration operations in the State of Colorado currently in violation of the provisions of the Colorado Land Reclamation ACt for the Extraction of Construction Materials (Section 34-32.5-120, C.RS.) as determined through a Board finding. 4. I understand that statements in the application are being made under penalty of perjury and that false statements made herein aro punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. .` Sighed and dated this 2 S day of ~ ~ 12C F~ 2 00 Z ~ .-~ 14 ' . ApplicanVOperator 0[ Comp y Name Signed: - -~ Title- Co i State of ~~na~l~ ) C-.~ ,.., i . ~ _ ,, ; _ ~; .„ - -_ n.'i ~~. •J: If Corporation Attest (Sea})'.~~~~ ;, ' i;' ~Ii 1,~4n~~~~,.~•.,• Signed: ~z~/ ~ ' ~y.A'-~J G~~ Y 0 rporate Secretary or Equivalent TowalCiry! ounty Clerk ss County of tOg06._~ ) The foregoing instrument was acknowledged before me this„~,~ day of /OIL!' ~, by _ 7t'a y ~.a yp ~v as _r_~~~i c s /oa,x~ of a ~r,~ ~ D[ r Nj~/ , ~ 1 ~~ ~1 1 ~ ' ~ ~ ~ ,^ ~ ~ ~ . , i+ ~ ~i1/ x./2..1_- ~Q./ ~ ~ ~ Notary Pdblic : c; i ~ ' ' f s` My Commission expires: /oi /ae%!.3 1~` """""""~ ' SIGNATURES MUST BE 1N BLUE INK ~t~uw~stwa~vswow.~SCa_~cnrs..~rn oviaov