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-~- <br />Certificatioa: <br />As an authorized representative of the applicant, I 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. Z 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 1- day of H//att.5 ~ , / 7 <br />(~ vL7nR~ If Corporation Attest (Seal) <br />A li t/Operator or Company Name <br />signed: John W. Simper signed: `~"J ~~ <br />Corporate Secretary or E slept <br />Title: Director of Pueblo Countv Public Works Town/City/County Clerk <br />State of COlOredO ) <br />County of Pueblo ) <br />ss <br />The foregoing instrument was acknowledged before me this 18th day of AUQUSt 1997 , <br />by <br />John W. Simper <br />as Director of Pueblo Countv Public Works <br />Notary Public <br />My Commission expires: 12/28/97 <br />SICNATQRES MAST BE IIt BLIIE INR <br />01/02/96 ffiZ:iFC0.132 <br />