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• ~ -5- <br />~~ <br />Certification: <br />A.6 as authorized representative of the applicant, I hereby certify that the operation <br />described has met the ,n:t,;.,~..~ requirements of the following teaos and conditiws: <br />1. All necessary approvals from local government have been applied for <br />{Rule 1.6.2(1) and (2)); <br />2. This entire m+*++*+g operation will not extract more than 70,000 toss of mineral, <br />overburden, or combination thereof is nay calendar year (defined in Rule 1.1(24)); <br />3. This +~+*++*+g operation rill not adversely affect the stability of any eigaificaat, <br />valuable and permanent man-made structure(sl located within tiro h~mdred (200) feet of <br />the affected loads. (However, there there is as agreement between the <br />applicaax/operator and the persons having an interest in the structure that damage `o <br />the structure is to be compensated for by xhe applicantloperator (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. No m+*++~g operation will be located oa lands where such operations aze prohibited <br />by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended); <br />5. As the applicant/operator, I do not have nay m;^;++q/Prospecting operations in <br />this state of Colorado currently is violation of the provisions of the Mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as detP+'*~+*ad through a <br />Board finding. <br />6. I understand that statements is the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />p++T'~++~*+t to Section 18-8-503, C.R.S 1984, as amended. <br />a <br />Signed and dated this ~~ day of ~~PPPM b er I`l9u <br />.:: _. <br />~~~/~ - <br />Applican Opera/motor <br />Signed: ~,a~ ~/ Gfr',f'~9~ <br />Title:C~~d,~r Lov„T~/ //.nort~~ <br />If Corporation Attest (Seal) <br />Signed: ~~~ :~c~..,~~- <br />Corporate Secretary or figtuvaleat <br />1~f2ity/County Clerk <br />State of C'ol l~ ) <br />/ ! ) ss <br />Cotmty of .5. i ~t C/o/ /? ) <br />The foregoing insrr++mP*+t eras aelmowledged before me this ~- 6 -day of , /~, <br />by C..-/l.~/-/PS K~ (.DUiR~R as C~iac~,- of ~lv.c~y~v, ~ n~.~.~,`i~_. <br />y ~ i3 u G_ <br />(/~ N t lic <br />My Commission expires: ~-oZ 7 -~ <br />06R1N5 <br />2821Fvpf <br />p0/14/94) <br />