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~- <br />As as auahorized rcpresentative of the applicmnt, I hereby oertiiy that the operation described has met the minimum requiremeaits of the <br />following terms and conditions: <br />All necessary approvals from local govermnemt have been applied for (Section 34.32.5-110p)(a)(Viii). <br />2. To the best of m~q knowledge, all sigoiScank valuabk and peananmt man-maw structure(s) is etriste>xe at the time this <br />applicationisfded, andtaptedwithin200feeROfthoproposed affectedereahavebeen Idcoti&edin@~isapplication(Section 34-32.5- <br />1 I5(4)(e), C.RS.). (NOTE: Fa' l 10 operations. the effected area irtclttdes all Iartds delineated by the permit boundary.) <br />No mining operatiaa will be kcated on lands whero such aperatons are pr~ibited by ]aw (9ection34-32.5-115(4xf), C.RS,). <br />4. Astheapplioent/operaror,Idonothaveenymining/m~plorationoperetionsintheStaOeofColoredoounaatlyinviolationofthe <br />ptovnugm cf'the Colorado Lead ]twlemation Aa for the EMraction of Construoti~ Materials (Section 3M32.S-120, C.R3.). <br />S. Iunderetand that etatemertn in the application are beingmade underpena$y ofpmjury and thatfalse statemems ntadeherein are <br />pwnialuble es a Class 1 misdemcanoz pursuant to Section I S-8-SD3, C.RS. 1984. <br />77ib fosx kos been gpproved by tluD(JnedLmrdRedoxeoffox BoardpxrauaMtaaeMlon 94 31.~110,C.,RS, of the ColarodoLand <br />iRadamaNonArtjorBi~Bai2racYloaofConrbxdianMaterlab, Anyaheratton ormodl,~lon oftlkiaforvnsGaHreaxdtln vdd4tganry <br />permM bsxed on Ake ahead or mod~I'sd farm card sx6fed ~e operamr to tease and desl~ oralera and dvldPea°lBeaJ°or opu'atLeg <br />toA06sret apenidtpxnxmrt to aseAton 34.325-113, SRS <br />Sigaedanddatedihis 23ra day of cow#_omt,~r ~n5 <br />Barbara Clark <br />Jack Clark Jrz <br />T <br />//~' <br />S'} ~ <br />Title: O w <br />s~te~c_ ~/vra~ .~ <br />catauy oPs. ~~ r.-/Gl2y ~ sa. <br />The tbtegoins instrument wee aekaowledged bt4'ore me this <br />If Carparadion Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/Ciry/Couaty Clerk <br />~ ~ <br />._.aayof ~ , o2GYJ5' <br />r~t?.r~f ~ ~.~~ <br />Notary Public <br />My Commission atpiras: <br />9IGNATUREB MUST 13$ IN HI.UE IIVK <br />~ oat to (App,ovep cwt i~saosl <br />DEBRA R. <br />i PONCHAK <br />My Canmasion 06@4!08 <br />