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M _5_ • <br />Certification: <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 bees applied for <br />(Rule 1.6.2(1) and (2)); <br />2. This entire mining operation will not affect more than 30 acres; <br />3. This mining operation will not adversely affect the stability of any significant, <br />valuable and permanent man-made structure(s) located within two hundred (200) feet of <br />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 <br />the structure is to be compensated for by the applicant/operator (Section <br />34-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agzeement 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 <br />by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended);" <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 (Section 34-32-120, C.R.S. 1984, as amended) as determined through a <br />Board finding. <br />6. i understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />Signed and dated'this~y ?~ day of ~~~ yf 1 /~~~ <br />Rudy Rudibaugh <br />Applicant/Operator <br />Y 1 <br />Signed: <br />Title ~1~~~~~~ ~ ~/~~ ~ <br />State of -~~- ) <br />M ) sa <br />County of lC /GYnn.~e~._, ) <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Cierk <br />The foregoing instrument was aclmowledged before me this IXU/D-day of , ~~ <br />by ~ as l.E._~, of <br />"Notary Pu''b//lic <br />My Commission expires: 7~~~~ <br />2ffi2P.wpf ~ -- <br />(10/14!94) ~ - <br />