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-~- <br />Certification: <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. To the beat 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.). <br />2. 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 />3. As the applicant/operator, I do not have any extraction/exploration 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, C.R.S.) <br />as determined through a Board finding. <br />4. 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. <br />"'. <br />-:~ ~ _ `a <br />~_:= .. <br />Signed and dated this 17TH day of JUNE , 2003 - ' ='+'~ ~ ~ 'i ; '- <br />CARDER TNC.AA <br />Applicant/Operat r or Company Name <br />Signed: ~-~/,1//// <br />Title: <br />PRESIDENT <br />State of COLORADO <br />ss <br />County of PROWERS ) <br />~'_ :.. <br />if Corporation Attest.(S//eal_)~ w <br />Signed: ~~~Q // /l lJ~f,~(~, <br />Corpor a Sec eta or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 17TH day of JUNE 2003, <br />by RON PETERSON as PRESIDENT of CARDER, INC. <br /> . <br />- <br />/ ~ <br />_ ~,- tary Public <br /> ~~~-~'~ <br />n ,~ My Commission expires: <br />:' \ - <br /> SIGNATURES MUST BS IN BLtTS INR <br />01/02/96 2ffi3FC0.112 <br />