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-~- <br />Certification: <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, 2 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. 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 iB-S-503, C.R.S. <br />Signed and dated this ~ day of ~ ~'~ ~ ~ ~~ <br />~'~ ~ ~rcUUt~~C~ 111C <br />Applicant/6perator or Compan Name <br />Signed: // <br />Title: ~ o . /T/7o~ <br />If Corporation Attest (Seal) <br />Signed: (, l/ ~ ~• ~Zl~ <br />Corporate Secretary or E valent <br />Town/City/County Clerk <br />State of ~ lcc~~id <br />f/^ ~ ss <br />County of ~~ ~Y ) <br />The foregoing instrument was''``ac~~k~~'(nowle~d(ged before me this ~ day of .( ~~ <br />by ~1~Y~.(l~ E,~IQ~d~VL~k VI~.F ~~-S~~ of ~~d ~.i~~~Q~.~)~1f~~ ~~~ <br />1Ccc~. ~ ~ ~ (~ r,,~~s~~ N <br />otary Pub'l`ic ~7 <br />My Commission expires: 6\ Q ~~~ r <br />SICRiATIIRHS M[TST HS IN BLIIE INR <br />01/23/97 282: <br />