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<br />-a- <br />ss <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the foliowing terms and conditions: <br />1. All necessary approvals from local government have been 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 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 iaw (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 1n 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 />Signed and dated this ~~ day of _,~~. ~ ;~! --~-~; c~' . <br />~._ <br />Fremont Countv Board of Countv Commissioners <br />Applicant/~~Ojpe''rator ~J <br />Title: Chairman of the Bo rd <br />,.~ ,, <br />Stafe:gf~' <br />-r ^ )'':' <br />County.of~ <br />r <br />n U n \ ~L: r <br />The fo'regoing••insti <br />2821E (02/05/93) <br /> <br />:~• <br />Y~~ , <br />%y •. q•. <br />If Corporation Attest (Seal~~;,`_„~.: <br />t <br />Tam/County Clerk <br />was acknowledged before me this JL day of ~, <br />as ~~~~ of ~(\~ ~ac-~ <br />Notary Public <br />My Commission expires: <br /> <br />