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-8 - <br />Certification: <br />As an authorized representative of the applicant, f hereby certify that the operation described has met the minimum requirements of the <br />following terns and conditions: <br />I. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br />structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by <br />the applicant/operator (Section 34-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of <br />an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining; operation will be located on lands where such operations are prohibited by law (Section 34-32-115(4)0, <br />C.R.S. 1984, as amended); <br />3. As the applicantloperator, I do not have any mining/prospecting 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 />4. 1 understand that statements in the application are being made under penalty ofpedury and that false statements made <br />herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-11?,CR.S, of the Mined Land <br />Reclamation Act. Any alteration or modification of tris form shall result in voiding any permit issued on the altered or modified <br />form and subjecr the operator to cease and desist orders and civil penalties for operating without a pertnit pursuant to <br />section 34-32-133, C.R.S. <br />Signed and dated this ^� day of C Ln <br />High Speed Mining, LLC <br />If Corporation Attest (Seal) <br />Applicant/Operator or Company Name <br />Signed: Signed: <br />'title: <br />State of L,51 � or a A c-2 _ ) <br />ss. <br />County of r-, <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this dayof <br />by r..< <P �c. �1-�� as f1Ce5 t•ti of <br />Notary Public <br />AnaMAREE BARNES <br />NOTARY PUBLIC <br />Commission expires: <br />STATE OF COLORADO SIGNATURES MUST BE IN BLUE INK <br />NOTARY ID 20144002449 <br />MY COMMISSION EXPIRES JANUARY 16, 2018 <br />