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-z- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation dwabed has met the m <br />regal of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made struchn-c(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 loci on lands where such opts 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, C.R.S.) as determined through a Board finding. <br />4. I undid that status in the applicatiml 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"-503, CRS. <br />Signed and dated this 26th day of August 2003 <br />Varra Companies, Inc. <br />Applicant/Operator or Camp anne <br />Signed 4 <br />Chri topher L. Varra, President <br />'T'itle: PRESIDENT <br />If Corporation Attest (Seat) <br />Signed: ?? <br />Corporate Secretary or Equivalent <br />State of l??rc??o ) <br />ss <br />Countyof W e O(1 ) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged me this - day of J _ <br />, <br />by l- ? 1? -roe as beS ; n of xc, r1 . <br />Notary Public <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />M'4Mk'A-WSfiK=WAff5kVcfm 112Aw (!0/15/2001)