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Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the miuumum requirements of the <br /> following terms and conditions: <br /> 1.This mining operation will not adversely affect the stability ofany significant,valuable and perma,ientman-made shucture(s)located <br /> within two hundred(200)feet of the affected lands. (However,where there is an agreement between the applicantloperator and the <br /> persons having an interest in the structure that damage to the structure is to be compensated for by the applicant/operator(Section <br /> 834-32-115(4)(d),C.R.S.1984,as amended),then mining may occur within 200 feet. Proof of an agreement must be submittedto tile <br /> Office prior to the decision date.) <br /> 2.No mining operation will be located on lands where such operations are prohibited by law(Section34-32-115(4)(f),C.R.S.1984,as <br /> amended); <br /> 3. As the applicant/operator,I do not have any mining/prospecting operations in this state of Colorado currently in violation of the <br /> provisions ofthe Mined Land Reclamation Act(Section 34-32-120,C.R.S.1984,as amended)as determined through a Board finding. <br /> 4. 1 understand that statements in the application are being made under penalty of perjury and that false statements made herein are <br /> punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S. 1984,as amended. <br /> This form has been approver/by tlue Milled Land Reclamation Board pursuant to section 34-32-112,C.R S., of the Miller/Land <br /> Reclamation Act Any alteration or modification of thisform shall resttlt in voiding any permit issuued an the altered or nlodifred form <br /> and subject the operator to cease and desist orders and civilpenalties for operating without a perm}lpursuant to section 34-32-123, <br /> C.R.S. <br /> Signed and dated this_ %i day of !/' O�7 <br /> Climax Molybdenum Company If Corporation Attest(Corporate/County Seal) <br /> Applicant/Operator Name <br /> Signature:_ �-- J By: J C t s <br /> / Corporate Secretary or Equivalent i <br /> Title:_ /1 e/Gi L G ti ua i Town/City/County Clerk <br /> r• <br /> Stateof_(',D la r"d a } <br /> a <br /> /7� <br /> County of�(s C (�EeK)ss. ) <br /> The foregoing instrument was acknowledged before me this ��� day of- <br /> b 6'1jm f - /itvt <br /> LISA CROSS ___e_� <br /> Notary Public Notary Public <br /> State of Colorado Q �p <br /> Notary ID ti 20094032740 My Commission expires:Q / rn ! �07� <br /> My Commission Expires 09-29-2025 <br /> 8 <br />