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- 6 - ' <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. All necessary approvals from local government have been applied for <br />(Section 34-32.5-110(1)(a)(viii). <br />2. 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.). (NOTE: For 110 operations, the affected area includes all lands <br />delineated by the permit boundary.) <br />3. 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 />4. As the applicant/operator, I do not have any mining/prospecting 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, <br />C.R.S.). <br />5. 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 1984. <br />Signed and dated this Z~ day of ~U~ ~-f ~ / <br />~~ Sir~~ee-o~ <br />_ =.~`~ <br />.'ti c <br />~:_ _ ;: <br />Zf Co oration Attest (Seal) ~'.,1~ ~^- _ <br />Signed:I JZ.wn__,~~ ,L <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of ~lO.PAI~o <br />/ ~ ss <br />County of CA.Prrf l`i2 ) <br />The foregoing instrument was'.ackn~c <br />by ,G§• <br />me this a?~ day of l~L /99~ <br />~C~ SC''~RF~~n of <br />/ ,. ter- ... ..h _. <br />' Ty 1 <br />yy~~ l . _ <br />f' <br />t, <br />- ~ ~^ Notary Publlc <br />^,'• •~<~- Rlrk G Schrainer <br />~'~~ ~, ~ .y My Commission expires: <br />. - ` OF~p~~e' Notary ~,-~h ~c :;olorado <br />I_2 ~1i ~F~r l~OL41~/ <br />sxcxxroxss smsx sE xN seas xxx My Commission Expires 03/05/2001 <br />04/25/97 2821FC0.110 <br />Title: ~ Ta ~.~' 1 ~/~// i <br />