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• <br />-~- <br />Certification: <br />s <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(4)(e)~ C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law lSection 39-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I 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 March ~~. <br />brand Junction Pine & Suoolv Co. If Corporation Attest (Seal-) ' <br />Applicant/Operator or Company Name ~jq~ ~ ....._.__., ' <br />Signed: l Signed: _ .(J//lai.~ / ~i ~i J <br />C rporate Secretary or Equivalent <br />Title: Marie Tipping, President Town/City/County Clerk <br />State of Colorado ) <br />ss <br />County of Mesa ) <br />The foregoing instrument was acknowledged before me this ~ day of March ~, <br />by Marie Tipping as President <br />of Grand Junction Pipe & Supply Co. <br />My Commission expires: <br />SIQ~TURES MITST BE IN SLUE INiC <br />.IOFN80N <br />04/25/97 2823 EC0.112 <br />