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('ertitication <br />As m authorized representative of the applicant, 1 hereby certify that the operation described has met the minimum <br />reyuirentents of the follow mg terms and conditions: <br />1. To the best of my knowledge. all significant. valuable and permanent man-made structure(s) in existence at the time <br />this application is tiled. and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34-32.5-11 5(4)(c), C.R.S.). <br />2. No minim; operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.>-11S(- V0, C.R.S.: <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 %titerials <br />(Section 3-i-32.5-120. C.IL.S.) as determined through a board finding. <br />4. 1 understand that statements in the application are being made raider penalty of perjury and that false statements <br />made herein are punishable as a Class i misdemeanor pursuant to Section 1 8-8-S03. C.R.S. <br />This lorm has been approved hr the :Dined Laird Reclamation Board pursuant to section 34-32.5-112,C.R.S., of the Colorado Land <br />Reclamation . tct for the EVraction o% Construction Materials. All,v alteration or modi ic•ation of this %ornt .%hall re.vtlt in voiding arr_r <br />permit i.svn•d on the altered or modified for•nr anel suhiect the operator to cease and desist orders and civil penalties Jor operating <br />without it permit pursuant to section 34-32.5-123, C.R.S. <br />nd <br />Signed and dated tills _= day of (?O 4 nbG_C a C)C) <br />I C. X COIy 0??1 rl ?, G?s\O N E, <br />Applican r)cralor or Co ipany Nat ?e T- ?.• •G0RP* <br />a?. N <br />signed: U' <br />t <br />_ •'?RA DD <br />^I ..... <br />Title: ?? e S C tL° 1 l? <br />:fittest (Seal) <br />Corporate Secretary or Ftluivalent <br />'i ownr''C•ity. Count\ Clerk <br />State of eo l o raj c ) <br />ss. <br />County of I'S [) (tel. ) <br />The foregoing instrument was acknowledged before me this day of O ci 0 4? r <br />r! by _?aV IQ S. Zeknp_f as PrLs;J6-) nt of Pr&cr5ron ExraN)nf1T)Q, ?1'lC. <br />f <br />0& <br />13- <br />?ti SGA Commission expires: YOU must post sufficient Notices at the location of the propo`SA e'site to clearly identify the site as the location of a <br /> <br />INK <br />