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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 been applied for <br />(Rule 3.2C1)(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 1s to be compensated for by i.he applicant/operator <br />(C.R.S. 34-32-115(4)(d)>, then mining may occur within 200 feet. Proof of an <br />agreement must be 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 1n 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 18-8-5/03, C.R.S. <br />Sig~ned~and dated this ,Yrs. day of s1~2~p,r~~,~,~ ~_~ <br />Applicant/Operator <br />By: ~~}'r.hZ-cn,s CoNJf.~~~f,B~v/~^C <br />Title: P^~s~~-~k-~' . <br />State of ;"~~s-iit.~~ ) <br />ss <br />County of > <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The oryen/g~o(tj~/ng Instrument xas ac owledged before me this f~=~`day of ,~ „/,. (~95! <br />~.~5 ,l YI V.IiYYI/i ~ ...............a r1 Of~r.i rr ' <br />- - _ - Not ry Pubilc - <br />-. _ <br />2821E C04/92> .- My Commission expires: ,~_ 7 99' <br />