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<br />-a- <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals from local government have heen applied for <br />(Rule 3.2(1)(d)); <br />2. This entire mining operation will not extract more than 70,000 tons of <br />mineral, overburden, or combination thereof in any calendar year (Rule 3.2); <br />3. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made structure(s) located within <br />two hundred (200) feet of the affected lands. However, where there is an agreement <br />between the applicant/operator and the persons having an interest in the structure <br />that damage to the structure is to be compensated for by the applicant/operator <br />(C.R.S. 34-32-115(4)(d)), then mining may occur within 200 feet. Proof of an <br />agreement must 6e submitted to the Division prior to the decision date. <br />4. No mining operation will be located on lands where such operations are <br />prohibited by law (C.R.S. 34-32-115(4)(f)>; <br />5. As the applicant/operator, I do not have any mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (C.R.S. 34-32-120> as determined through a Board finding. <br />6. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signp~ and date' this Z~I~day of .'~1~ ~3 <br />Citv of Crinale Creek <br />Applicant/Operator <br />By: <br />Title: /~~y- G <br />If Corporation Attest (Seal) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of ) <br />> ss <br />County of ) <br />The foregoing instrument was acknowledged before me this _ day of <br />by <br />of <br />ds <br />Notary Public <br /> <br />2821E (04/92) My Commission expires: <br />