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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 terms 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 70.01)0 tons of mineral. overburden, or combination thereof in <br /> any calendar year(defined in C.R.S.3.1-32-110(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.R.S. 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 arc punishable as a Class 1 misdemeanor pursuant to Section 18-8-503.C.R.S 1984,as amended. <br /> This form has been approved by the Mined Land Reclamation Board pursuant to section 3a-32-110,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, CRS. <br /> Signed and dated this it-24`L4 day of ,>gnfll <br /> 6-0 i rrti2 pa is o3 I�rtV�(riat vv&CLPPA/ If Corporation Attest(Seal) <br /> Applicant/Operator <br /> By: j/))447‘/ 1&/ CO£ 7 B.) °Itti✓ -7 <br /> ���S/�� � 40.e."---- <br /> Corporate Secretaryor Equivalent <br /> Title: A Town/City-/County Clerk <br /> State of I <br /> �1 )ss. <br /> County of Ju lrti'1et <br /> I <br /> The foregoing instrument was acknowledged before me this day of r+v l __. <br /> by kn 601 Jen as V idle✓/ rr01, of ( Errvt-tr r�SCS 1.A( <br /> v) <br /> GER W 'y, Nota 'Public <br /> 5Q . �8 ', My ommission expires: /V A / b <br /> SIGNATURES MUST BE IN BLUE INK <br /> STATE <br /> OF <br /> - TENNESSEE - <br /> NOTARY <br /> PUBLIC <br /> ''',S�MNER CCW <br /> I/O/I I O° <br />