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RE~~~~~~, <br />- ' ' DEC ~ 4 2006 <br />CLrtilicatioa: Division <br />Mi . o~ReclamaHOr,, <br />As an authorized representative of the applicant, I hereby certify that ~~Pefjon described has <br />met the minimum requirements of the following terms and conditions: <br />1. Thin mining operation will not adversely affect the stability of arty significant, valuable <br />and permanent man-made structure(s) located within two hundred (200) feet of the affected <br />lands. (However, where there ie an agreement between the applicant/operator and the persona <br />having an interest in the structure that damage to the structure is to be compensated for by <br />the applicant/operator (Section 834-32-115(4)(d), C.R.S. 1954, as amended), then mining may <br />occur within 200 feet. Proof of an agreement moat be submitted to the Office prior to the <br />decision date.) <br />2. No mining operation will be located oa lands where such operations are prohibited by law <br />(Section 34-32-115(4)(f), C.R.S. 1984, ae amended); <br />3. A9 the applicant/operator, i do not have any mining/prospecting operations in thin state <br />of Colorado currently in violation of the provisions of the Mined Land Reclamation Act <br />(Section 36-32-120,- C.R.S. 1984, as amended) as determined through a Board finding. <br />4. 2 understand that statements in the application are being made under penalty of perjury <br />and that false statements made herein are punishable as a Class 1 misdemeanor pursuant to <br />Section 18-8-503, C.R.S. 1984, as amended. <br />Thin lots Lan been appzoved by tLe Y1aed Land Reclamation Hoard pnrsnast to seatios 34-3?- <br />11?,C.R.B., o! tLe Ytaed Lead Reclamation Act. Any alteration or sodilication o! tLis loses shall <br />result in voiding any permit issued on the altered or sodilied !oa and subject tLe operator to <br />cease sad desist orders sad civil penalties for operating vi.tLout a permit pursuant to aectiau 34- <br />3?-1~8, C.R.B. <br />Signed and dated this ~ day of /r/~YOhpT ~DO~o <br />~/ ~ i~ ' i 7{"e~~ o Ti7/L <br />App leant Opera r Name i <br />Signature: <br />Title: <br />6tate of 1~p1~{' ~ n lX O ) <br />se. <br />County of ) <br />Attest (Corporate/County Seal) <br />The foreAgo~ling in~~t{rumen~t was acknowledged before me this ~ day of <br />by .~ ~ X X.r cc.l~ ~1 Ol [ 1/~ as of <br />N:\axs\stuRa\vsnosas\aeaavoam.ua cos/as/oa> <br />My commission <br />or <br />Clerk <br />~~ <br />^..'- <br />5.~_ iii ~ ^- <br />i <br />%iT <br />°if~ ~~4~- ~~~ ~ <br />