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<br /> <br />-s- <br />Certification: <br />Ae 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. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made structure(s) located within two hundred <br />(200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persona having an interest in the structure that damage <br />to the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are <br />prohibited by laa (Section 34-32-115(4)(f), C.R.S. 1984, ae amended); <br />3. A9 the applicant/operator, I do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act lSection 34-32-120, C.R.S. 1984, as amended) as determined through <br />a Board finding. <br />4, I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />Signed and dated this ,~Q ~ day of ~ . <br />Donald & f:athrvn Ideber Z: Son=, <br />dba Weber Sand and Gravel <br />1 11~.~-A~pp~l~i~c~ant/Opelrnat/~olr- <br />By 1~(.ll.l v ~~~/Y-G~X~LI <br />Title: ~rfi, - `~~_ 1//~ <br />State of ~ O { U R ur~~ ) <br />s8 <br />County of ~ U~-~-~~- ) <br />on Attest (Seal) <br />4p v <br />Secretary or equivalent <br />' Town/Ci /County Clerk. <br />N '. A <br />4F CG~ ~ <br />My COmnLSffOn ~iR9 -~_~,qB <br />The foregoing inatnunent was ackno(w~ledged before me this ~ day of ~_, 1 /g^g,(,,5~,, -n <br />by Cti`~'lh ~/- 10-t~1, aelSJl.t9-n,~ ~ ~~-P~ of JC.~~ ~ `~l~`-" ""~' <br />~- l~ ~~ <br />Notazy Public <br />My Co iseion expires: a I'1~~i~j <br />2823F <br />(10/f//94) <br />