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<br />1 -5 <br />Certification• <br />' As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditiane: <br />1. This mining operation rill not adversely affect the stability of any <br />' significant, valuable and pe:maaeat man-made structure(s) located within two hundred <br />(200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator sad the persona having as interest in the structure that damage <br />to the structure is to be compensated for by the applicant/operator (Section <br />' 834-32-115(4)(d), C.R-S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of as agreement moat be submitted to the Office prior to the decision date.) <br /> <br />1 <br />1 <br />1 <br /> <br />1 <br />1 <br />1 <br /> <br /> <br />1 <br />1 ~F <br />no,~„9,> <br />1 <br />2. No mining operation rill be located oa lands There such operations are <br />prohibited by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations is <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, ae amended) as determined through <br />a Soard finding. <br />4. i understand that statements in the applicatiaa are being made under penalty <br />of perjury and that false statements made herein are punishable ae a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />Signed and dated thi~~~~' day of ~~o n \q q~_ <br />State of l 'rI~CX~,~~ ) <br />ss <br />County of ~ ) <br />The foregoing iast^*^~*+t was ac)morledged <br />if Corporation Attest (Seal} <br />By: <br />Co rate Sec tary or Squivaleat <br />„ Torn/City/County Clerk. n <br />~~i uuul)1)1) Jlll pppJ~'h~~-hV/V/V//~~~^~ ~~CJv"""!` Ixdl /-nv~ ~ l ~MM BSI <br />before me this day of ~, ~ , <br />by rnn ~~~ ~ as (~~ u1~ of <br />Not Publ'c <br />Title : ( '!`~~ ~ ,~ T, , NrUiM i /l i~~'ffA`~Fl ~ <br />