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5- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation descn'bed has met the minimum requirements of <br />the following terms and conditions: <br />1. All necessazy approvals from local government have been applied for (Rule 1.62(1) and (2)); <br />2. This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof <br />in a~ calendaz yeaz (defined in Rule 1.1(24)); <br />3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br />stmcture(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the <br />applicanUoperator and the persons having an interest in the structure that damage to the structure is to be compensated for <br />by the applicanUoperaror (Section 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 J <br />4. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32-115(4)0, C.RS. 1984, as amended); <br />5. As the applicanUoperator, I do not have a~ mining/prospecting operations in this state of Colorado currently in <br />violation of the provisions of the Mmed Iand Reclamation Act (Section 34-32-220, C.RS. 1984, as amended) as <br />determined through a Board finding <br />6. I understand that statements in the application are being made under penalty of perjury and than false statements <br />made herein are punishable as a CLus 1 misdemeanor pursuant to Section 18-8-503, C.RS 1984, as amended. <br />Signed and dated this ~/ 7 h day of ~l/~/L~f 2 FAO ~3 <br />- ~ .is~1 Tf Coryomtion Attest (Seal) <br />canU Aerator <br />By: By: <br />Title: /-/b~.7 r <br />State of CGr'~OY'~~ 1 <br />,/~ ) ss. <br />County of _ ~~ Plj S ~ ) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing inctr„ment was acknowledged before me this ~_ day of ~t ~ ~ ~~ , <br />by <br />as <br />of <br />~~ ~.~ <br />Notary Public <br />My Commission expires: d~ <br />M:\tnml~ate\vsfotmslHar~odcl ]O.doc (05/17/2001) <br />