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-7- <br /> Certification• <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of the <br /> following terns and conditions: <br /> 1. All necessary approvals from local government have been applied for(Rule 1.6.2(1)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(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 located on lands where such operations are prohibited by law(Section 34-32-115(4)(f), <br /> C.RS. 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.RS 1984,as amended. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110(1),C R.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 /> 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,C.R.S.Signed and dated this day of iL1.►'1!.(A+�r,� 2d 1 <br /> / 'oX)17L If Corporation Attest(Seal) <br /> A licant/Operator <br /> Signed By: 'r t By: <br /> Corporate Secretary or Equivalent <br /> Title: Town/City/County Clerk <br /> State of Co <br /> ss. <br /> County of <br /> c-Q <br /> The foregoing instrument was acknowledged before me this 3 ` day ofY►.c <br /> by t-Ate VV�,_ 1701✓✓� rc, as of N CI <br /> ��Tle� _ q.�lgtirU <br /> DEBBIE GRAHAM Notary Public <br /> NOTARY PUBLIC My Commission expires: <br /> STATE OF COLORADO <br /> NOTARY ID 198"015675 <br /> MY CO/NAISSION EXPIRES OCTOWA 27.MI <br /> SIGNATURES MUST BE IN BLUE INK <br />