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<br />-~- <br />Certification: <br />As an authorized representative of the applicant, l hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.SJ. <br />2. No mining operation wil4 be located on lands where such operations are prohibited by law (Section <br />34-32.5-I 15(4)(fj, C.R.S.; <br />3. As the applicanUoperator, 1 do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4. 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 9 day of <br />Mobile PreDlix Concrete, Inc. <br />a Subsidiary of Lafarge Corp. <br />ApplicanUOperator or Company Name <br />Signed: r riv <br />Title: ~SL"'~°'t 1 an.~ hwne,.f1J <br />If Corporation Attest (Seal) <br />Signed. '- `~ _- _ <br />orpora ytSecretary or Eq~aiv~lent <br />TowNCity/County Clerk <br />State of L~rnrlo ) <br />ss <br />Countyof~l 1er,ttr~ ) <br />The foregoing instrument was acknowledged before me this ~ F~ day of ~ +Q I +~- , ~, <br />by~1~-,., {-. U1f'Y mtyi as ~('fll f~('_~ nNi {11~M~ ~, • ~ile~lrctil ~ivyrrfio ~t~=. <br />U V <br />Notary Public <br />My Commission expires: 1y' /~P.- ~1 <br />~-~NATURES MUST BE IN BLUE iNK <br />M:~.arns~vsroaru~zencoiz.nar oviaw <br />