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-►- <br /> Certification <br /> As an authorized rcpresentam a of the applicant.i hereby certify that the operation described has met the minimum requirements of the following <br /> terms and conditions: <br /> I. All necessary approvals from local government have been applied for(Rule 1.6.2(I)and <br /> 2. This entire mining operation will nut extract more than 70.000 tuns of mineral.overburden,ix combination thereof in any <br /> calendar year(defined in Rule 1.420: <br /> 3. This mining operation will not adversely affect the stability of any significant.%aluable and permanent man-made structurc(s) <br /> located within two hundred(200)feet of the affected lands. (However.where there is an agreement between the applicant•operator and <br /> the persons having an interest in the structure that damage to the structure is to be compensated for by the applicant operator <br /> (Section.14-32-1 15(4xd),C.R.S- 1984.as ametuled►,then mining may occur within 200 feet. Prawf of an agreement must be submitted to <br /> the Office prior to the decision date ) <br /> 4. No mining operation will be knuted on lands where such operatikms are prohibited by law(Section-14-32-1 IS44)(n,C.R.S. <br /> 1984.as amended 1. <br /> 5. As the applicant operator.I do not ha%a any mining prospecting operations in this state of Coloradit currently in violation of the <br /> provisions of the Mind land Reclamation Act(Section 34-32-120,C.R.S. 1984.as amended)as determined through a Board finding. <br /> 6. I understand that statements in the application arc being made under penalty of perjury and that false statement.made herein are <br /> punishable as a Class I int%demeanor pursuant to Section I8-9-503.C.R.S. 1984.as amended. <br /> 7-hie form ha%been approred bi'the.►lined Land Reclamation Board pariaant to set Lion 34-32-110,C.R.S.,of the Wind Land <br /> Reclamation -Ire Anr alteration or modification of thic form shall re>alt in voiding;ani•permit iccued on the altered or modified form and <br /> subject the operator to cease and desist orders and chl1il penahiles Jornoperating NYthoat a permit par.aant to%ection 34-32-123,(IR.S. <br /> Signed and dated thu .L day of A r t <br /> Salisbury Gladstone LLC li Corporation Attest iSeal) <br /> 1ppli:.int tfierator <br /> Signed: Signed: <br /> �M Corporate Secretan or Equivalent <br /> file _ I f la4OW TowuCity'CountyClerk <br /> State of p,D rC'-atzi _) <br /> t )ss. <br /> County of i Ci <br /> The fore(toin�mstnirrx-nt was acknowledged before me this ' day of <br /> by Je as (ylc CA—GrC_h^ �1►tS1mJs t " S4br%L L4-C. <br /> NOTARY UBLiC <br /> My Commission expires: oT ZLi <br /> SIGNATURES MUST BE IN BLUE INK <br /> JILL C JOLLY <br /> ROTARY PUaL)C <br /> STATE Of COLORADO <br /> NOTARY 60 2016AO40412 <br /> lWYCOWASS410"11"WESOCTO"R24 2014 <br />