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Dew-18-01„ 02 _•56P ., ,, P-02 <br />- ~ - <br />Certi£ca[inn; <br />As an authorized representative ofthe applicant, I hereby certify that the opurouan described hoc met [he minimum <br />requiremanr_s of the fi>howing wrens and conditions: <br />1. To the hest of my knowledge, all significant, valuable and permanent mnn-made structure(s) in exstencc at the time <br />this application is tilai, and located within 200 feet of the proposed alTectc~! •trea have been identiticd in !hs application <br />(Section 34-33.5.1 l ~(4)(e), C.R.5.)• <br />Z. No mining operation will be located on lands where such operations xre prohibited by law ($ceuon <br />34-32.5-I15(4)(F), C.R.S.; <br />3. A5 the applicant/operalor, 1 do opt have any extraction/explnration operations in the State of Colorado nurrently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials I,S~:ctinn <br />34-32.5-120, C.R.S.) as determined through a Board finding. <br />4. {understand that statements in the appGCation ate being made under penalty of perjury and that. false statements <br />made herein are punishable as a Class I misdemeanor pursuant to SoYtion 13-R-SU3, C.R.S. <br />Signed and dated this ~_ day of _}O~f0U6ls'/~EX -_, .Zt~ O /. <br />Q.,gp~~/~A,t/ t~.vt-CF~_ RN1~ s~?Pj/r: ~j ~ ~ ~t~Corporation Attest (Beall <br />ApplicandOpetator or Cyttame <br />Signed: <br />Title: <br />State of~ tf)`Uf C~C.'j~ t ) <br />Corporate Secretary or Fquivslenl <br />"1"own/City/County Clerk <br />ss <br />County of C.~U t~t\ t.°,pl \ ) <br />The foregoing insttvment was acknowledged before me this ~,_ day of _; ~i~r7t'/!1 f)f_'r' _,;~Ck~~ , <br />by _ as _of -_- <br />~L`~(Yf.~..t("t Cx•~it"`aeb\ ~~~, epl~ `r 1v1P~~lc.CU\~1. (x~~~~~t.~~1~~w~ <br />_e~ COTt~ ~- <br />Nola <br />pU6L~~ <br />expires: ~j_f j~e~ <br />SiLmed: <br />SIC,NATURES MUST BE IN BLUF. tNK <br />M1MrMS11ArtLIVR}pyw5~28:)COI:,AYP OYIryT <br />