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, <br /> -s- <br /> D <br /> Certification• <br /> As an authorized representative of the applicant, I hereby certify that the operation <br /> described has met the mini-- 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(a) located within two hundred <br /> (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 <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 an agreement must be submitted to the Office prior to the decision date.) <br /> 2. No mining operation will be located on lands where 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 anymining/prospecti.ng operations in <br /> this state of Colorado currently in violation of the provisions of the Mined Land <br /> Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as deter min d through <br /> a Board finding. <br /> 4. 1 understand that statements in 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 18-8-503, C.R.S 1984, as amended. <br /> Signed and dated this Z01 day of OGTCWSEZ I�f� <br /> Applicant ope or If Co tion Att at Seal) <br /> By: A �r�an� P.IF,•� D,E,E. By: Cxa� 6 V0+C✓ VPU f . esa• - <br /> Environrrow{sl aid Pexw.clk J Corporate Secretary or-Rquivaa-et- <br /> Title: •q4 wn/F._ry/GG ty Clark. <br /> State of S-u 4^ <br /> ss <br /> County of R-,nrlin�fbn ) <br /> The foregoing instrument was acknowledged before me this.)-tit day of <br /> by +hP, aCovW �nc`iv;ai<As as ky-lv&crs" 0cl %r-t" s of P . ;ajn� £ SFlnc. <br /> AM9 le-r' Notary Public <br /> My Commission expires: 3 "SkA ?b ? <br /> 2=3F <br /> (10/14194) <br />