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- ,~ ,s <br />- 6 - <br />Certi£icatioa: <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. All necessary approvals from local government have been applied for <br />(Section 34-32.5-110(1)(a)(viii). <br />2. 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.). (NOTE: For 110 operations, the affected area includes all lands <br />delineated by the permit boundary.) <br />3. 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 />4. As the applicant/operator, I do not have any mining/prospecting 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, <br />C.R.S.). <br />5. 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 18-8-503, C.R.S 1984. <br />Signed and dated this 4t~1 day of June 1999 <br />Pu ' t Rock Investment/s/LI,C <br />~1 If Corporation Attest (Seal) <br />App cant/ erator <br />Signed: Jerry NOVak Signed: <br />Title: _ Division Manager <br />State of Colorado ) <br />E1 Paso ) ss <br />County of ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 4th day of June 1999 <br />by Jerry Novak as Applicant Operator of Pulpit Rock LLC <br />P\5.1NE t W/SR - l./i/k-o7'C~~i (~) ~ L!/-~-L~ <br />~~'e' ° °= Notary Public <br />:NOTARY°° f+by Comr+(sston Erp;rOs <br />p My Commission expires: ,~-na onn+ <br />;_ pUBLIG <br />SE I!7 $LV8 IN1C <br />04/25/97 2822FC0. 130 <br />