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-~- <br />Certification: <br />As an authorized representafive of [he applicant, T hereby certify that the operation described has met [he minimum <br />requirements of the following terms and conditions: <br />1. To the best of my lmowledge, all significant, valuable and permanent man-made structure(s) in existence at the time <br />this applicafion 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.R.SJ. <br />2. No mining operation will be located on lands where such operations aze prohibited bylaw (Secion <br />34-32.5-115(4)(f), C.R.S.; <br />3. As the applicantloperator, I do not 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.R.S.) as detemuned through a Boazd fmding. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein aze punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~ ~\ day of ~ra/2 /~!~ , ~. <br />Hilltop Aquatic Investments, <br />or <br />Signed: <br />Title: i <br />i <br />State of <br />ss <br />County of <br />The foregoing instrument was <br />bY-~1~1-~'~1i~ L~ <br />eti~ K: Yeti <br />~~ ~.~ <br />. ~IB1.!~ <br />My COmrN~eia~ DtPwes SeR t~. 2007 <br />If Corporation Attest (Seal) <br />Signed: /~ <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />d before me this ~~ day of , <br />as _-f~~~ of ,'~~ <br />No y Public <br />My Commission expires: ~',~ - Z~~ <br />SIGNATURES MUST BE IN SLUE INK <br />M:VMA~BIx.1MINFORMSV.823C012.APP 10/1"1/01 <br />