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a _7_ • <br />Certification: <br />As an authorized representative of the applicant, I certify that the operation described <br />has met the minimum requirements of the following terms and conditions: <br />1. To the beet of my knowledge, all significant, valuable and permanent man-made <br />structure(s) in existence at the time this application ie filed, and located within 200 <br />feet of the affected are have been identified in this application (Section 34-32.5- <br />2. No mining operation will be located on lands where such operations are prohibited <br />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 operations in <br />the State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Constructions Materials (Section 34-32.5-120, <br />C.R.S.) as determined thru a Board finding. <br />4. I understand that the etatemente in the application are being made under penalty <br />of perjury and that false etatemente made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, .R.S. <br />Signed and dated this Z Z day of / =/--/--1-' <br />icant open for If Corporation Attest (Seal) <br />By: Ferd A. MMueller By: <br />Title: Anent <br />State of COLORADO ) <br />ee <br />County of FREMONT ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The forgoing instrument was acknowledged before me this 22nd day of September 1997 , <br />by Ferd A. Mueller ae an Anent of Siloam Stone <br />Notary` Public <br />- - My Commission expires: 8-9-99 <br />04/25/77--2923FC0.112 <br />`~- <br />