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•. • <br />- 7 - <br />As an authorized representative of the applicant. I hereby cer ify that the operation described has met the minimum <br />requirements of the following tams 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 filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 3432.5-115(4x4 C.R.S.). <br />2. No tnining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-115(4xf). C.R.S.: <br />3. As the applicant/operator. I do not have any ectmc6on/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. 1 understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein arc punishable as a Class 1 misdememor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 3rd day of 'T'LWN I An=L,f 2,06.1 _ <br />Applicant/Operator or ompany Name <br />t <br />Title: Nom' <br />State of Co ? r-A _t <br />County of _ tv anig Z-OOV& <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this Ord day of AQ6y%iLQLru <br />Eby 132CcA? 1! Q.rsucl, as lvla?na r of Emr SkAr, MMaim I i C <br />M:A4W6HAPtMV5F "APP O2/IM" <br />Dal all <br />a-- <br />Notary Public <br />My Commission expires: 4- 22- 2,06 --% <br />SIGNATURES MUST BE IN BLUE INK