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<br />c er-t fig tion: <br />As an authorised 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. This mining operation will not adversely affect the stability of any significant, <br />valuable and permanent man-made structure(s) located within two hundred (200) feet of <br />the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage to <br />the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the office prior to the decision date.) <br />2. No mining operation will be'located on lands where such operations are prohibited <br />by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a <br />Board finding. <br />4. 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 i misdemeanor <br />pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />Signed and dated this 9 day of J ?? ?- <br />r <br />Bestway Paving Company <br />Applicant/operator <br />Signed: A?J <br />, <br />Title: &4-- <br />corporation Attest (Seal) <br />if <br />Signed-' <br />Corpo ate Secretary or Equivalent <br />Town/City/County Clerk <br />State of <br />) sB <br />County of /.?•.??1 ) <br />The foregoing instrument was acknowledged before me this _q_ day of ??....--•_ c' <br />by as of <br />Not Public <br />My Commission expires: <br />2a79F apf <br />(07m1