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-7- <br /> !germation: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of the <br /> following tears and conditions: <br /> 1. All necessary approvals from local govemnuft have been applied for(Rule 1.6.2(1)and(2)); <br /> 2. This entire mining operation will not extract more than 70,000 bons of mineral,overburden,or combination thereof in <br /> any calendar year(defined in C.R.S.34-32-110(2x&)); <br /> 3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br /> struct m*9)located within two hundred(200)feet of the affected lands. (However,where there is an Woomeat between the <br /> applicantloperator and the persons having an interest in the structure that damage to the structure is to be compensated for by the <br /> applicant/operator(Section 3432-115(4Xd), C.R.S. 1984,as amended),then mining may occur within 200 feet. Proof of an <br /> agreement must be submitted to the Office prior to the decision date.) <br /> 4. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32-115(4)(1), <br /> C.R.S. 1984,as amended); <br /> 5. As the applicant!operator, I do not have any mining/*ospecting operations in this state of Colorado currently in <br /> violation of the provisions of the Mined Land Reclamation Act(Section 34-32-120,C.R.S. 1984,as amended)as determined <br /> through a Board finding. <br /> 6. I understand that statements in the application are being made under penalty of perjury and that false statements made <br /> herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,CILS 1984,as amended. <br /> This form has been approved by the Maned Land Reclamation Board pursuant to section 34-32-110,CRS, of the Mined Land <br /> Reclamadon Ad Any aeration or rnod ftccadon of this form shall racuEt in voidfng any permit issued on the altered or modified <br /> form and subject the operator to cease and desist orders and civil penalties for operating without a perm#pursuant to section <br /> 34-32-123,C.R.S. <br /> Signed and dated this��day of Set aj Q a <br /> If Corporation AitW(dal) <br /> Applicant/Operator <br /> By: , By: u)'e s r <br /> corporate Secretary or Equivalent <br /> Title: Town/City/County Clerk <br /> State of <br /> County of <br /> The foregoing instrument was acknowledged before me this day of <br /> by (L lwj6 r'e °�--as of <br /> kit <br /> ELIZABETH E PEREZ Notary blic <br /> NOTARY PUBLIC My Commission expires: b <br /> STATE OF COLORADO SIGNATURES MUST BE IN BLUE INK <br /> NOTARY ID 20094034973 <br /> MY COMMISSION EXPIRES OCTOBER 19,2017 <br />