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(ertitiraliun: <br /> As an authonzed representative of the applicant. I hen:b% cc:rtil� that (lie olvo-ration described has met the minimum rexlutmmumts of the <br /> following ternis and conditions: <br /> 1. All necessan approvals from local govettunent have[ n applied for(Rule 1.6.2(1)and(2)). <br /> 2. This entire mining operation will not extract more than 70,(W tons of mineral, overburden,or combination dw-mof in <br /> any calendar year(defined in C.R.S.34-32-I10(2)(s)►. <br /> 3 This mining operation will not adverselc affect the stability of am significant, Valuable and permanent man-made <br /> structures) located within two hundred (200) feet of the affected lands (1 lowever. whem there is an ago-micrit between the <br /> applicant/opt.Tator and the persons having an inierext 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. 1994. as amended), then mining may occur within 200 feet Prod of an <br /> agmement most 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(4xf), <br /> C.R.S 1984,as amended). <br /> 5. As the applicant/operator, I do not have any mining/pro,Txcting 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 per]ury and that false statements trade <br /> herein are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R S 1984,as amended <br /> T his form has been approved b'r the Mined Land Reclamation Board pursuant to section .44-32-110,C.R..S, of the Mined Land <br /> Reclamation Act. An►'alteration or modification of this form shall resuh in raiding ar{t•permit issued on the ahered or nrotified <br /> form and subject the operator it) cease and desist orders and civil penalties for operating ►o4thout a permit pursuant to section <br /> 34-32-123. C.R.S. <br /> Signed and dated this dAIN 10, fr e P.4141be,-,, Z 02,0 <br /> Grand Island Resources, LLC (GIR) If Corrclrauon Attest(Seal) <br /> Applicant ( ► ci,ii,,, <br /> tiv: J / <br /> liv <br /> Executive V.P. Corporate Secretary or Equivalent <br /> l tile. l'owm/Cite/County Clerk <br /> State of l� LU ► ee�/� ► <br /> County of ,✓O r <br /> The foregoing instrument was acknowledged before me this day of `.kC,e rn b.�r AGAC <br /> b% Daniel I akatnt as Lxecumv V.Y. of Grand Island Resources,LLC <br /> caml.is Law Notary Public _ <br /> TE a W My Commission expires. 3 <br /> NOTARY ID 20I5403MI SIGNATURES MUST BE IN BLUE INK <br /> L'0W#&W0u E xPME! A,*W?s min? <br />