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-4- <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 been applied for <br />(Rule 1.6.2 (1) and (2)) ; <br />` 2. This entire mining operation will not extract more than 70,000 tons of mineral, <br />overburden, or combination thereof in any calendar year (defined in Rule 1.1(24)); <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 ie an agreement between the <br />• applicant/operator and the persona having an interest in the structure that damage to <br />the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />4. xo mining operation will be located on lands where such operations are prohibi,te,(i <br />by law (Section 34-32-115(a)(f), C.R.S. 1984, ae amended); ~ddn <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, ae 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, ae amended. <br />Signed and dated this ~~ day of nl~.u. 4 ~ <br />~ ~ ~~~ <br />' Appl'icanf/Operator <br />Signed: <br />Title: <br />State c <br />~ County <br /> <br />If Corporation Attest (Seal) /J <br />Signed: ~ ~~„u-~~ ~~~.12~t ~ v`~-~.G~ <br />Corporate Secretary or fiquivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 1~ day of /o Q , O~ <br />C <br />by ~ as ,of <br />~~ <br />My Commission expires: <br />• <br />2821P.wpf <br />(10/14/94) <br />/r/9~/ <br />