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. <br />Certification: <br />As an authorized representative of the applicaat, I hereby certify that the operation described has met the miniinum <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-mane 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), CRS.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4)(f), CRS.; <br />3. As the applicant/operator, 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, CRS.) as determined through a Board finding. <br />4. I understand that stets in the application are being made under penalty-of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 1 M-?03, CRS. <br />Signed and dated this 26th day of August 2003 <br />Varra Companies Inc <br />ApplicandOperator or Company, ame <br />Signed: <br />Chri topher L. Varra, President <br />If Corporation Attest (Seal) <br />Signed. ?Ia4Aal? <br />Corporate Secretary or Equivalent <br />Title: PRESIDENT <br />State of i6 (-c-_ o ) <br />) ss <br />Countyof We ( ) <br />Town/City/County Clerk <br />The foregoing instrumeat was acknowledged a me this - day of ?o ft <br />L <br />by C?s? r}1c_?,' V??a as PS ; ?n7L of `r <br />Notary Public <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />M 1miu1s1ma1uda®s\Ca?ctian IUAoe (1W15/MO1)