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-7- <br /> Certification <br /> ',Xs an authorized representative of die applicant,I hereby certify that.the operation described has met the minimum requirements of the <br /> following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Rule 1.6 2(1)and(2)); <br /> 2. 'Phis 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(4)(d), 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 Iocated 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, 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 /> 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,C.R.S 1984,as amended. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110(1) ,C&S., of the Mined Land <br /> Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified <br /> ,firm and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to section <br /> 14-32-123,C.R.S. <br /> Signed and dated this t' % j day of l` O <br /> If Corporation Attest(Seal) <br /> /�pplicant/Operator <br /> Signed By: ,�//ff���G /(]!J By: <br /> � Corporate Secretary or Equivalent <br /> Title: l-91 ,04 i?) Town/City/County Clerk <br /> State of (2 a 'o rct d'o } <br /> ss. <br /> Cotmtyof Gharrc.C., } <br /> The forego' g instrument'vps acknowledged before me this 29 day of 7-Y1 .161 <br /> by ,�/ �c✓1�c<< 'LC 4 e.- as of .0 G P T W, ,ri <br /> E <br /> A.SALAZAR kQ <br /> Y PUBLIC COLORADO otary Public <br /> 200340312-54 y Commission expires: b�J' 17- ..D Expires 09.11-2019 <br /> SIGNATURES MUST BE IN BLUE INK <br />