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<br />Certification: <br />r~ <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the rrunirnum requirements <br />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 tittle this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operntions are prohibited bylaw (Section 34-32.5-1 IS(4)(i), <br />C.RS.; <br />3. As the applicant/operator, I do not have any extractiodexploration operations in the State of Colorado cuaently 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.RS.) as determined through a Boazd finding. <br />4. I understood that statements m the application are being made under pwalty of perjury and that false statements made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.RS. <br />~f ~ <br />Signed and dated this 02 / day of ~~B6iiA 200 / <br />If Corporation Attest (Seal) <br />,~ <br />Signed- <br />~ p // <br />Co orate Secretary or Equivalentj7Pc'd~'Lt~ <br />Town/City/County Clerk ll <br />State of c. v ~e ~ i) n 1 <br />ss <br />County of <~~ /YJ E~f' 1 <br />~~-. ~ <br />The foregoing instrument was aclmowledged before me this 7/ day of ~~d~~ /~~f /~~, m / <br />by G=oo ~~E F, ,/~pp,4 ../Gi~s sEc - ~r'it s of ~i%ELa.d~ i~E.an v ~,~ <br />No Public ~` <br />My Commission expires: a~ O , <br />SIGNATURES MUST BE IN BLUE INK <br />Title: ~~Ctf /.easi/~rVr <br />