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<br />-~- <br />Certification: <br />As an authorized representative of the applicant, t hereby certify that the operatidn described has met the minimum <br />requirements of the following terms and conditions: <br />I. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is tiled, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 3~t-32.5-1 Id(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-I I5(4)(t), 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. [understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section ] 8-8-503, C.R.S. <br />Signed and dated this ~~~ay of ~~~~~ <br />J and K Limestone Products, LLC <br />,ed before me this 1~'L day of , <br />as ~~0//7~LLf/1~l of <br />I <br />Corporate Secretary or Equivalent <br />Tovvn/City/County Clerk <br />State of ~.~_L~Y~ ) <br />ss <br />County o ) <br />If Corporation Attest (Seal) <br />Simed: <br />NotaryNotary Public~~ <br />My Commission expires: <br />ICNATURES MUST BE IN BLUE INK <br />