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-8- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimttm requirements of <br />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 fi]ed, and located within 20U feet of the proposcd affected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.SJ. <br />2. No mining operation will be located on lands where such operations are prohihi[ed by law <br />(Section 34-32.5-I15(4)(f), C.R.S.; <br />3. As the applicantioperator, I do not have any extraction/exploration operations in the State of Colorado cuaently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Conswction Materials <br />(Section 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 are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Thu jorm has been approved by the hfined Land Reclamation Board pursuant to Becton 34-32.5-IIl,C.R.S., ojthe Colorado Land <br />Reclamation Ara jnr the pxtracainn njCnnstructinn Materiafs. Any alteration or modification ajthis jorm shag resuh in voiding any <br />permit issued on the aUered or modifiedjorm and subject the operator to cease and desist orders and civil penalties jor operating nVhout <br />a permit pursuant to section 34-32.5-123, C.R.S. <br />Signed and dated this 27th day of January, 2006 <br />Eastern Colorado~re~at,ps, LLLP <br />AoolicanUOoera[or or Como <br />Title: Planylging Partner <br />If Corporation Attest (Seal) <br />Signed: <br />State of COLORADO ) <br />ss. <br />Counq~ of PUEBLO ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The Coregoing instrument was acknowledged before me this lath day of January _ 2006 <br />by Ronda Netuneister as Managine Partner of Eastern Colorado AeereQate,LLLP <br />Notarv~`(u~ <br />My Commission expires: r, .o~C~lo~y ~C~lo <br />`rnniuuttt <br />SIGNATURES MUST BE IN BLUE INK `p``r NE S ~~'~ <br />M Mintsh.mwfomu~Coiuwnian u2a~(Approved 05/ll/2005) `J ,P w~Fj-'''~~ <br />i <br />:' NpTARYS~~';- <br />_ •v4a ~C'i~ti <br />o'er ~.LClARY PUBU~ :'' ~~ <br />:91F'•......... ••'p~~~ <br />