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-~- <br />Certification: <br />As as authorized representative of the applicant,l hereby certify that the operation described has met tbeminimrmr regtmemeaLS of <br />the following terms and conditions: <br />1. To the best ofmy lmowledge, all significant, valuableand pennanentman-made stnrchne(s) in eldstence at the time this <br />application is fled, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 3432.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 3432.5-115(4)(f), C.RS.; <br />3. As the applicaot/op, I do not have any cxtracfion/exploratien operations in the State of Colorado caareatly in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br />(Section 3432.5-120, C.RS.) as deta'nrined through a Board Eroding. <br />4. I understand that statemwts in the application are being made underpenalty ofpajruy and that false staimients made <br />herein are punishable as a Class 1 misdemeanor pursuant ib Seetian 18-8-503, C.RS. <br />This john has been approved by the Mueed Land Radmx~iour Board pararrmd ro sarGon 3431.5-III,GILS, of Nu Colavndo Land <br />Reehmeaaion Adfor the E>Wa~n ofCo»savdimt Mataialc Any a/4a+adion ar modrfcaadon of 8iisfo-m shag rrsa$ of vai~ng airy <br />perntairsaed on tlreaCeredormodifiedfarar axdsabltdrhe operators cease and de,astordera and dwZperrabfiesforapa~gxd/iad <br />a permit pursamrt s seAron 34-3113, GRS <br />Signed s~ dated this day of <br />Eldon & Cornelia Reynolds <br />Applicant/Op~ator or Campa~ Name <br />Signed: L~~,~-~,.,,~ ' - ,~/ <br />Tire: Owners <br />State of Colorado <br />Crnmty of Delta <br />) ss. <br />If Corlmration Attest (Seal) <br />Signed: <br />corporate sec.•etaty or I:~vateu <br />Town/City/County Cia~k <br />The foregoing instrument was aclmowledged before me this ~ day of ~ }R.~ H - ~G, • by <br />Eno o~ as CluVVr,. of <br />CGI~l1E' l~ t~2L;/1C,G ~ - <br />~•• VICKI S. /i Notary Public <br />RIPP <br />N~•, r0 MY Canmussion aspires: /.1 ~7 O~' <br />MUST BE 1N BLUE INK <br />M~W~me~v~s~CamNxtim ll2doc <br />