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-6- <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requiremenzs of <br />the following terms and conditions: <br />1. All necessary approvals from local government have been applied far (Rule 1.6.2(1) and (2)); <br />2. This entire mining operation will not extras more than 70,000 tons of mineral, overbwdeq or combination thereof <br />in any calendar yeaz (defined in Rule 1.1(24)); <br />3. This mining operation sill not adversely affect the stability of any significant, valuable and permanent man-made <br />s[mcture(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for <br />by the applicanUopera[or (Section 834-32-115(4)(d), C.RS. 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 J <br />4. No mining operation will be located on lands where such operations aze prohibited by law (Section <br />34-32-115(4)(t), C.RS. 1984, as amended); <br />5. As the applicanUoperator, I do not have any mining/prospec[ing opemtions in this state of Colorado currently in <br />violation of the provisions of the Mined Land Reclamation Aa (Section 34-32-120, C.R.S. 1984, as amended) as <br />determined ihmugh a Board finding. <br />6. I understand that s[atemenzs in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant [o Section 18-8-503, C.RS 1984, as amended. <br />Signed and dated this day of <br />ApplicanUOperator <br />~~ <br />Title: <br />State of <br />County of <br />ss. <br />If Cotporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this day of <br />~' <br />as <br />of <br />Notary Public <br />My Commission expires: <br />M:MinlsharelvsfolmslElar~ock110.doc (05/17/2001) <br />