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09/04/2009 14:53 9702475104 DMG DURANGO OFFICE <br />- 6 - <br />Certification: <br /> <br />PAGE 12/16 <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the mininmm requirements of <br />following teams and conditions: <br />All necessary approvals from local government have been applied for (Section 34-325-110(1)(a)(viii). <br />2. To the best of my knowledge, all. significant, valuable and pemanent man.-made structure(s) in existence at the time 1 <br />application, is filed, and located within, 200 feet of the proposed affected area have been identified in this application (Section 34-3: <br />115(4)(c), C.R.S.). (NOTE: For 110 operations, the affected area includes all lands delineated by the pen nit boundary.) <br />3. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32.5-115(4)(f), CA, <br />4. As the applicant/operator, I do not have any mining/prospecting operations in the State of Colorado currently in vivladoi <br />the provisions of the Colorado Land Reclarnation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R. <br />5. 1 understand that statements M the application are being made under penalty of perjury and that false statements made he <br />are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R_S 1984. <br />14 <br />Signed and dated this - day of L , <br />If Corporation Attest (Scat) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of <br />ss. <br />County of A?kk ) <br />'77r <br />The foregoing instrument was acknowledged before me this day of GAL <br />arypu <br />M It <br />y Cozllmission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />M:1PrIMUARE1VSF0RN15t2821.C010.APP 10115/01 <br />Title: &A111 C t