2020-01-04_PERMIT FILE - M2017035

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-7- Certification• As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the following terms and conditions: 1. All necessary approvals from local government have been applied for(Rule 1.6.2(l)and(2)); 2. This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in any calendar year(defined in C.R.S.34-32-110(2)(a)); 3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by the applicant/operator (Section 34-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an agreement must be submitted to the Office prior to the decision date.) 4. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32-115(4)(f), C.R.S. 1984,as amended); 5. As the applicant/operator, I do not have any mining/prospecting operations in this state of Colorado currently in violation of the provisions of the Mined Land Reclamation Act(Section 34-32-120, C.R.S. 1984, as amended) as determined through a Board finding. 6. 1 understand that statements in the application are being made under penalty of perjury and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S 1984,as amended. 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 Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to section 34-32-123, C.R.S. —� Signed and dat d is day of Decew eot Z C�Zd If Corporation Attest(Seal) Applicant/Operator Signed By p�)e"k)It sck Pi'iblp By: Corporate Secretary or Equivalent Title: (1)(0 N E'er- Wr2S C` . Town/City/County Clerk State of`-) l� ) ss. County of �J� ) The, ore oing instr C nt vas ackndged before me this�day of by ( r)l S e 1CWVas a0/lQA_ of r I o Public My mission expires: SIGNATURES MUST BE IN BLUE INK �� [INOTARY berly D. Blossom NOTARY PUBLIC STATE OF COLORADO IP 2oob4o I b248 COMMISSION EXPIRES APRIL 21,7022