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s <br />-8- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum <br />requires of the following teams and conditions: <br />1. To the best ofmy knowledge, all significant, valuable and petunnent man-made structure(s) in existence at the time <br />this application is filed, and located within 200 feet of the proposed affiected area have been identified in this application <br />(Section 34-32.5-115(4)(e), C.R.S.). <br />2_ No mining operation will be located. on lands where such operations are prohibited by law <br />(Section. 34-32.5-115(4)(f), CRS.; <br />3. As the applicantloperator, i do not have any o action/explorattion operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extrachon of Construction Materials <br />-" - (Section34-32.5-120, C.R .) as detehbiin d thrroua a Board Eif( g_ - <br />4_ 1 understand that statements is 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 18-5-503, CRS. <br />This form has been Wrored by the A fined Land Reclamation Board pursnant to section 34-32.5-112,C-k&, of the Colorado Land <br />Rerclimrntion Actfor the £vtraction of Construction Materials. Amy alteration or nw&i7catiou of this fMW shall result m rmidnig any <br />permit issued on the altered or modified form and subject the operator to cease and desist orders and cM7 penalties for operating <br />without a pernvt pursuant to section 34-32 5-113, CAS <br />Sipped and dated this k day of JULY 2010 <br />JBS Five Rivers Cattle Feeding LLC <br />Applicant/Qperatu or Company N <br />Signed: _A Z-46 Michael Thoren <br />If Corporation Attest (Seal) <br />„/?o ,SeCl/„ <br />Signed: <br />Corporate Secretary or Equivalent <br />Title: CEO and President, JBS Five Rivers Cattle Feeding LLC <br />State of Colorado <br />ss_ <br />county of Weld 1 <br />Town/City/County Clerk <br />The foregoing mstcrmaent was ack wledged before me this day of JULY , 2010 <br />by Michael Thoren <br />Ts 1 1, <br /> <br />"I;;'1f1IIr(rW ISIGNATURES RUST BE IN BLUE INK <br />You must post sufficient Notices at the location of the proposed mini site to clearly identify the site as the location of a <br />my commission ewe UMMN EXPIRES 1017 11