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-~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certif}° that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />1. To the best of mti~ knowledge; all significant, valuable and permanent man-made structure(s) in existence at the tone <br />this application is filed, and ]ocated n7thin 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-I15(4)(e), C.RS.). <br />2. No mining operation will be located on lands wfiere such operations are prohibited by law (Sedsan <br />34-32.5-115(4)(f), C.RS.; <br />3. As the applicant/operator, I donot have any extraction/exploration operations in the State of Colorado currently 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 Board futdizg. <br />4. I understand that statements in the application are being made rmder penalty of perjury and that false statements <br />made herein are punishable as a Class i misdemeanm pursuant to Section i 8-8-503, C.RS. <br />".~~rrj <br />'c . <br />1q,'~••',... . <br />Signed and dated this 23 day of October 2002 - -~>> . '. ' <br />~~ v'. , <br />Elam Construction, Inc <br />Applicantl0perator or Company Name <br />Si <br />~; ;~,. <br />r ~'~ yrµ,,l :r' <br />If Corporation Attest {Scal)~~ -` ~ ~ ~` :` <br />i' ~~ <br />'', <br />Signed: <br />Corporate Secretary or Equivalent <br />Tide: President <br />State of Colorado 1 <br />ss <br />County of Mesa <br />Town/City/County Clerk <br />The foregoing instrument wasacimowledgedbeforemethis 73 day of October 2002 , <br />by Harold F. Elam ~ President of Elam Construction, Inc. <br />M:~u~shue\vdo~~(:oa6uaion 112.doc (]0/ISlM01) <br />My Commission expires: ~•.~ -`! <br />SIGNATURES MUST BE IN BLUE INK ~: ``C ~~Tf~'•; y;, <br />3~~ <br />~ f T~ <br />~~ ~~ 9~0~'es: <br />