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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 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 (4I(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, 2 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 />Signed and dated this _~~ day of 1e4,3T{~!'ll~r _. <br />T <br />Grand Junction Pipe & Supply Co. <br />Applicant/Operator or Company Name <br />If Corporation Attest (Seal) <br />Signed: ~~~°~o C~ <br />Title: Marie Tiooine - President <br />State of Colorado ) <br />ss <br />County of Mesa ) <br />Signed: "' - /- <br />C rporate Secretary or Equivalent - <br />Town/City/County Cler:~ <br />1 <br />The foregoing instrument was acknowledged before me this ~ day of el ~, <br />by Marie Tipping as President of <br />i <br />SIGNATURES MUST B8 <br />c <br />~ - ~a -oa <br />Co. <br />06/26/97 2823FC0.112 <br />