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- 6 - <br />Certificatioa: <br />As an authorized representative of the app <br />described has met the minimum requirements <br />1. All necessary approvals from local <br />(Section 34-32.5-110(1)(a)(viii). <br />~~~1 <br />Licant, I hereby certify ~la/&t vpp~"~ex~ <br />of the following terms an~ ona~ ~s: <br />~O <br />government have been applied ?Q/)„ <br />2. To the best of my knowledge, all significant, valuable and permanent ma` ade <br />structure(s) in existence at the time this application is filed, and located "thin 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.). (NOTE: For 110 operations, the affected area includes all lands <br />delineated by the permit boundary.) <br />3. 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 />4. As the applicant/operator, I do not have any mining/prospecting 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, <br />C.R.S.). <br />5. I 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 1984. <br />Signed and dated this ,S day of 79?GC HOC <br />~/-r~ , -. <br />If Corporation Attest (Seal) <br />S gned: ~ 1~(./~x ~ D~'V~r! Signed: <br />Title) ~~( Jl.l) N ~K~ <br />State of (fy(r^ird~) ) <br />ss <br />County of C'u~~/~ ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instr~m-ent was acknowledged before me this .J day of 7~ ~, <br />by ~~QVE~~ C ~ ~G(~t+.),CUk' as ~`~I.JK1fi~S of f%~. <br />/~ otary. Pun ~ '" <br />My Commission expires:.-o~ _O' G'~ <br />SIGNATIIRES MOST BE IN BLIIE INK <br />09/25/97 2821FC0.110 <br />