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<br />-a- <br /> <br />As an authorized representative of the appiicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals from local government have been applied for <br />(Rule 3.2(1)(d)); <br />2. This entire mining operation will not extract more than 10,000 tons of <br />mineral, overburden, or combination thereof in any calendar year (Rule 3.2); <br />3. This mining operation will not adversely affect the stability of any <br />significant, valuab]e and permanent man-made structure(s) located within <br />two hundred (200) feet of the affected lands. However, where there is an agreement <br />between the applicant/operator and the persons having an interest in the structure <br />that damage to the structure is to be compensated for by the appiicant/operator <br />(C.R.S. 34-32-115(4)(d)), then mining may occur within 200 feet. Proof of an <br />agreement must be submitted to the Division prior to the decision date. <br />4. 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 />5. As the appiicant/operator, I do not have arty mining/prospecting operations in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Retlamation Act (C.R.S. 34-32-120) as determined through a Board finding. <br />6. I 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. <br />Signed and dated this ~r day of ~. <br />Applicant/Operator If Corporation Attest (Seai> <br />gy; m. C. Branstetter 8,~,~~~~-rj9i~~ , <br />Titl@; Grand County Road & Bridge Supv. COrpOrdte $eCYetdry~0i' EQUIVdlent <br />- /•,_ Town/City/Couhty Clerk <br />State of UWi~ > <br />ss <br />County of ( ) <br />The fore/Rg~oiLrl~g instrument was acknowledged before me this~~ day of /i'( , ~99.~, <br />by , `• ~U ds of ~11f,~,QLI a{,}'~ ~(Q Q,~ <br />....., <br />z`~ ~~oT A q~ :°o~ N~ .G I.GU.U~Iit <br />~f :a <br />1J oC I g a 4 ~ Z <br />o tary Pub 1 1 c My Commission Expirae <br />d ~ Ottobe~ 26. 1995 <br />2821E (02/OS/93~Y••(°UBL~4QPo My Commission expires: h;e~_.~,n~, <br />~qrE OF GO~,O Kremo~ CO 8p4$g <br />