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-?- <br />Certification: <br />As an authorized representative of the applicant., I hereby certify that the operation described has and the minimum <br />requirements of the following terms and conditions: <br />]. To the best of m}= knrnvledge; all significant, valuable and pemranent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-115{4)(e), C.RS.). <br />2. 1~'o mining operation will be located on lands where such operations are prohibited b}` Iaw {Section <br />34-32.5-115(4?0, C.RS.; <br />3. As the applicanUoperator, I do not have any extraction/exploration operations in the State of Colorado currzntly in <br />violation of the pro«sions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-I20, C.RS.) as determined through a Boazd fording. <br />4. I understand that statements in dre application are being made under penalty of perjury and that faire statements <br />made herein aze punishable as a Class 1 misdemeanor pursuant to Section i8-8-503, C-RS. <br />Signed and dated this 30th day of October 2002 <br />Oldcastle SW Group, Inc. <br />dba United Companies of Mesa County <br />Applicant/Oper or Company Name <br />Signed: <br />Title: <br />Vice President <br />State of Colorado <br />County of <br />) s5 <br />Tawn/City/County Clerk <br />The foregoinginstrumattwasacimowledgedbeforemethis 30th day of October 2002 <br />b}'_ Peter J. Siegmund as Vice President of dba UnitedSComp3nieslo ~ ' <br />Mesa County <br />• - ' ° ? Notary Public Genevieve M. Blecha <br />::', - <br />-• -=„\;F My Commission expires: April 4, 2003 <br />-~;~,, <br />SIGNATURES MUST BE IN BLUE INK <br />.~ =~ <br />If Corporation Attest (Seat) '' ;- <br />Signed: ~ r~~ ~ <br />ell La <br />Corporat ecretary or Equivalent <br />M:~~~~~tc~,wu~ nzao~ paisnow~ <br />