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Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirement:, <br />of the following terms and conditions: <br />1. To the best of my inowledee, all significant, valuable and permanent man -made structurc(s) in existence at the time <br />application is filed, and located within 200 feet of the proposed affected area have been identified in thus applrca,ie!: <br />(Section 34- 32.5- 115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations arc prohibited by law (Scctuon 34 1 t4;(r). <br />C.R.S.; <br />As the app t <br />i v ritepxator I do ♦ have tacto . / lord <br />3. � e •• `CY 'L-r "Y •• d <br />I w iav ' ♦ uw�. any V : ; i <br />uJ►.UVWe; operations in the State of Colorado CWTe ^n:;t' <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Sector: <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 statementss made <br />herein are punishable as a Class 1 misdemeanor pursuant to Section 18- 8 -503, C.R.S. <br />Signed and dated this 11 day of January <br />GCC Rio Grande, Inc. if Corporation Attest (Seal) <br />ApplicantiOperator or Company Name <br />Signed: f Q,K__ / <br />Title: Environmental Manager <br />State of New Mexico ) <br />) ss <br />County of Bernal -lto ) <br />The foregoing instrument was aclmcwledged before me thi: 1 l t h day of January <br />b Brian D. McGill <br />( )FriCIAL SEAL. <br />J. Henderson <br />.J OTARY PUBLIC; <br />-TATL• OF NEW l■AjDOC o <br />25 Fnv- -nnr 2n tal Yana of GCC Rio Crznd?, <br />SIGNATURES MUST BE IN BLUE INK <br />2002 <br />Signed: <br />Corporate Secretary or Equivalent <br />Town,'Citv!County CIcrk <br />c %I r <br />Notary .D, 'C <br />My Commission expires: <br />