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-7 - <br />Certification.• <br />As an authorized representative of the applicant, l hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />I . All necessary approvals from local government have been applied for (Rule 1.6.2(l) and (2)); <br />2. This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in <br />any calendar year (defined in C.R.S. 34-32-110(2)(a)); <br />3. 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 the <br />applicant/operator (Section 34-32-115(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)(f), <br />C.R.S. 1984, as amended); <br />5. As the applicant/operator, 1 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 />6. 1 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, C.R.S 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110,CR.S., of the Mined Land <br />Reclamation Act Any alteration or modification of this farm shall result in voiding 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 permit pursuant to section <br />34-32-123, CR.& <br />Signed and dated this 5'FV0 day of R ??) I t- Z %.-I 1 -1 <br />AMAZONITE MINING <br />Applicant/Operator <br />A <br />Title: '6Pb_'AT0R <br />State of <br />) ss. <br />County of <br />The foregoing instrument <br />was acknowledged before me this day of_ <br />by 0Y'rt�,+as of <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />KRISTIN ZAMORA PETERS Notary Public <br />NOTARY PUBLIC My Commission expires: <br />STATE OF COLORADO S IGNATURES MUST BE IN BLUE INK <br />NOTARY ID 201540350315 <br />MY COMMIMON EXPIRES SEPTEMBEA 3, 2019 <br />2Dlcr <br />