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Certification <br />As an l)tttl)c/n7cd repre,rutah \'c of Qe applicant, I iieicbl cerlitY that IIle operation dC5crilkd Ilas ulet file 1111111111tin) retIUttculents of thin <br />1ollotttnp terms and cot)ditions. <br />All nec"-,an' approvals from Real government have lven al)1)hed for (Scction 34 -32 5 -1 10(1)(a H Vfll ) <br />2 To the best of inn kntm ledge, all signiflcani, valuable and Ivrrmmment man -made slructurcjsf in c\isteme at the time this <br />tipplication is filed. and located ttithnl 2W feet of the p1ol -rased affected area have been identified in Otis application <br />(Seelion 34-32 5-1 I i(d)tc). C,IZ S ) i lvO IT- For I to operation5_ the afl'eeted area includes all lands delineated bt the i)cnim <br />bottudan ) <br />3 No mining operatiou trill be located on lands tshcrr such ofxrati ons arc plohiblted by tart (Section 34 -32 S -11 5(4xf). <br />c'ltS) <br />-1 As the apphcantloperator i do not hate am' nunrngtexploration operations fit tie State of Colorado citnentls ill t u)lauon of <br />the Prot tstons of the Colorado Land Reclamation Act for the I {*Mraction ofConstru.lron hlatenals (Section 31- 32 5-12t1. C R.S ) <br />i i understand that statements in the apl)lcatis)n are hetng tnade under Imial v of peritin. and that l:llse statements nulde herein <br />fire pum ftible as a Class I nusdenlcanoi purstuult to Section 114-9-50 1 C R S 1984 <br />7Iris forte hav been approvedbi, the Alined Land Reclaination Board pursuant to section 34- 32.5 -110,C .R.S , of the Colorado Land <br />Reclaituttion Actfortlle F_.tYraction oj'Constraction Alrtterials. Ant' alteration or ntodiftctttion ofthis fortttshttll revolt in i oiding ant, <br />Ixrrtttit issued on the altered or modified fortit and subjert lite operator to cease and desist orders and civil lrcttaltiev for operating <br />without a permit pu»nant to section 34 -3ZS -123, C.R.S. <br />Signed and cl, ed this � dot of � ( t i o� I <br />'I itle <br />State of C O Z02 ul O } <br />i ss <br />Count} of LAShvt,ytyiggs —_ ) <br />If Corpiration Aticst (Seal) <br />Signed __ -_ — <br />C'orpoiate Sccrctan or Fquivalent <br />'I omilt'ttt /Counts Clerk <br />1 he fiucgonig in< 111inent ttas uci nt)n lcdgcd i ef'ore the this C� h riot' of �L .uQ,W Ql) <br />bt Ctor --y _L, 44LI 1- - — - - — tl, r- - - — - of <br />b si t try <br />Not rt F'tthltc - - -- <br />tilt Connuisu)n c�l)irc; �C% _ <br />SIC:NATURES MUST BE IN BLUE INK <br />RECE11P-7,r) <br />APR Q i- : (i ; <br />Division of Reciamation, <br />Mining & Safety <br />TA <br />KIMBERLY A. •ems <br />CHAVEZ <br />C <br />OF C <br />�,- <br />EXP <br />