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R <br /> <br />~_ <br />, -4- <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described herein has met the minimum requirements of the following terms and conditions: <br />1. This mining operation will not adversely affect the stability of any <br />significant, valuable and permanent man-made structure(s) located within <br />tw~~ hundred (200) feet of the affected lands. However, where there is an agreement <br />between the applicant/operator and the persons having an Interest 1n the structure <br />that damage to the structure is to be compensated for by the applicant/operator <br />(C.R.S. 34-32-115 (4 )(d )), then mining may occur within 200 feet, proof of an <br />agreement nest be submitted to the Division prior to the decision date. <br />2. No mining operation will be located on lands where such operations are <br />prohibited by law (C.R.S. 34-32-115(4)(f)); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in <br />this State of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (C.R.S. 34-32-120) as determined through a Board finding. <br />4. I understand that statements 1n the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 1B-8-503, C.R.S. <br />•- Signed and dated this 28th day of A~Rusc , 1995 <br />DELTA BOUNTY <br />Applicant/Operator <br />By :~~ <br />Title: Chairm n. Boa td o <br />Delta County Commissioners <br />State pf Colorado ) <br />55 <br />COUnty Of Delta ) <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk . <br />The foregoing instrument was acknowledged before me this~~dey of ~„ ` ,~~r <br />by /~inv .~ /~ one ,alas /'ov~,~rtmt~iia~ of ,f~eDl~°° C,~~~ <br />` ~ - .~ - ~ - <br />__ ~ <br />~_ `r~_ <br />Notary Pu is <br />My Commission expires: i ~/__~ -zL___/~zL/R/lam <br />