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• -6- <br /> Certification: <br /> As an authorized representative of the applicant, I certify that the operation <br /> described has met the minimum requirements of the following terms and conditions: <br /> 1 . All necessary approvals from local government have been applied for <br /> (Section 34-32.5-110( 1) (a) (viii) C.R.S. ) . <br /> 2 . To the best of my knowledge, all significant, valuable and permanent man- <br /> made structure(s) in existence at the time this application is filed, and <br /> located within 200 feet of the affected are have been identified in this <br /> application (Section 34-32 .5-115(4) (e) , C.R.S. ) . (NOTE: For 110 operations, the <br /> affected area includes all lands delineated by the permit boundary. ) <br /> 2. No mining operation will be located on lands where such operations are <br /> prohibited by law (Section 34-32.5-115 (4) (f) , C.R.S. ) . <br /> 3. As the applicant/operator, I do not have any extraction/exploration <br /> operations in the State of Colorado currently in violation of the provisions of <br /> the Colorado Land Reclamation Act for the Extraction of Constructions Materials <br /> (Section 34-32 .5-120, C.R.S. ) . <br /> 4. I understand that the statements in the application are being made under <br /> penalty of perjury and that false statements made herein are punishable as a <br /> Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S 1984./- <br /> r <br /> Signed and dated this day of J:�44 <br /> Applicant/operator If Corpor tiOn ;rftgst .($eal) <br /> By: Richard W. Brown By:' <br /> Co orate gec. etary or <br /> Equivalent <br /> Title: Road Supervisor Town/City/County Clerk <br /> State of COLORADO ) <br /> as <br /> County of YUMAtk <br /> ) <br /> The forgoing instrument was acknowledged before me this ` day of <br /> 1999 ,by Richard W. Brown as Road Supervisor of Yuma County <br /> c <br /> �X%;K_aryt Publ <br /> My Commissioi..expi4�: <br /> SIGNATURES MUST BE IN BLUE INK <br /> 04/25/97 2821FCO.110 <br />