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-5- <br />Certification: <br />Ae do authorised representative of the applicant, I hereby certify that the operation <br />described has stet the minimum requirements of the folloriag terms and conditions: <br />1. This mining operation rill not adversely affect the stability of nay significant, <br />valuable sad permanent man-made structure(s) located rithin tro hundred (200) feet of <br />the affected lands. (HOrever, There there ie an agreement betreen the <br />applicant/operator and the pereaas 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. 198x, ere amended), then mining may occur xi thin 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited <br />by law (Section 34-32-115(4)(f), C.R.S. 1984, ere amended); <br />3. Ae the applicant/operator, I do not have any mining/prospecting operations is <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, as amended) as determined through a <br />Board finding. <br />4. 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 Claea 1 misdemeanor <br />pursuant to Section iB-B-503, C.R.S 1984, as amended. <br />Signed and dated this ~ day of ~ ~ y <br />~. <br />~ ~ - ~~v <br />Qp ~' <br />c.A;. <br />,1. <br />Applicant/Operator If Corporation (Attest (6.:,z1).',~ ~ ~ , <br />(~ l ~ <br />Signed: ~~~ le--~--~'-- Signed: _ ~j~-.'•'~~ ~"- ~~t~~ <br />Title: ~~2 ~ ~~c~'cw~~ <br />State of ~~ /~~ ) <br />ee <br />County o ~~, (/h Q~ ) <br />Co orate Sec terry or Hquivale t <br />Town/City/County Clerk <br />The foregoing instrument Tae acknowledged before me this ,~~ day/~~of /,~~~, <br />by ~?.~a.,~ ^^ Ll~ ere ~'/U~.(ain~ of (`nnnipJ(' '1(~~ .ctl~~~ <br />~~/Llc!s~ ~~ m~ <br />Notary Public <br />My Commission expires <br />2E23P.vpf <br />cmm~ <br /> 1 ;' ~ <br />~ \U ~ I , <br /> <br /> ,~ , <br /> <br /> ~. i <br /> <br /> , i <br />~~. <br /> <br /> <br /> <br />