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-7- <br /> Certification: <br /> As an authoriicd representative of the applicant.I hereby certify that the operation described has met the minimum requirements of the following <br /> terms and conditions: <br /> 1. All necessary approvals from local go%eminent have been applied for(Rule 1.6.2(1)and(2)). <br /> This entire mining operation will not extract more than 70,000 tons of mineral. overburden. or combination thereof in any <br /> calendar year(defined in Rule 1.1(24)); <br /> 3. This mining operation will not adversely affect the stability of any significant.valuable and permanent man-made structure(.} <br /> located within two hundred(200)feet oldie affected lands. (t lowever,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 34-32-115(4Xd),C.R.S. 1984,as amended),then mining may occur within 200 feet. Proof of an agreement must be submitted to <br /> 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).C.R.S. <br /> 1984,as amended); <br /> 5. As the applicant/operator,I do not have any miningiprospecting operations in this state of Colorado currently in violation of the <br /> provisions of the Mined 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 are being made under penalty of perjury and that false statements made herein are <br /> punishable as a Class I 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 34-32-110,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 form and <br /> 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. <br /> E • <br /> Signed and dated this I day of 1 ` \i\ r �1 `J. <br /> BPMS LLC. (Mike Boss) If Corporation Attest(Seal) <br /> ApplicantOperator <br /> �_� �Signed: X `'%' -�-�"L. Signed: <br /> Corporate Secretary or Equivalent <br /> I hie: 0 t, 1'owt> City.County Clerk <br /> State of e0A ) <br /> )ss. <br /> County of___4 ( ) <br /> the tirregoing inst ment was a owl, ed betitre me this i T day or It fc i� , 4 Q <br /> by �i t� t�.c ZI R.. as l eT!�' of 1 Lay0 <br /> •` SUF 'r. NO TA MIMIC <br /> .....").1;-‘)-, <br /> / l / <br /> 1? ` <br /> am('t'J � �h l onuni„ion expires: [c�( �3 �X <br /> %\ m: SIGNATURES MUST BE IN BLUE iNK <br /> m ip�'OF , <br /> ''• , 12-21' ,.``, <br /> 1II,, \ <br />