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'Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimumrequirements of the following terms <br />and conditions: <br />All necessary approvals from local government have been applied for (Rule 1.6.2(1) and (2)); <br />2. This enflre mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in any calendaz <br />yeaz (defined in Rule 1.1(24)); <br />3. This mining operation will not adversely affect the stability of any significant, valuable and permatlen[man-made s[mcture(s) located <br />within two hundred (200) feet of the affected lands. (However, where there is an agreement between the applicant/operator and the persons <br />having an interest in the structure that damage to the structure is to be compensated for by the applicant/operator (Section 34-32-115(4)(d), <br />C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an agreement must be submitted to the Office prior to the <br />decision date.) <br />4. No [Wining operation will be located on lands where such operations aze prohibited by law (Section 34-32-115(4)(f), C.R.S. 1984, <br />as amended); <br />5. As the applicandoperator, I do no[ have anymining/prospecting operations in this state of Colorado currently in violation of the <br />provisions of the Mined Land Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a Boazd finding. <br />6. I understand that statements in the application aze being made under penalty of perjury and that false statements made herein aze <br />punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amended. <br />Signed and dated this _~_ day of J~ ~ Oo3 , <br />~~,es /3r~dPr' <br />Applicant/Opera[or <br />Signed: !J` <br />=~_ <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretazy or Equivalent <br />Town/City/County Clerk <br />County oI~.C~'Yl ~u ~ ss. <br />The foregoing instrument w'as/-ac'1m/owledged before me this _ ~,, (J ~ day of ~ ~GII / , ~, <br />by ~~ ~ ~7K_Y~Y as ,/7Ypt~-il[~~ of OI U.~'a") <br />~l~ ~~'yy ll lYl A/" ~O . <br />() <br />Not Public <br />My Commission expires: / ~ `~~~ <br />M:4bIIN[SHARE\VSFORMS\2821DM10.APP la/152001 <br />