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~: • " <br />-4- <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 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 70,000 tons of <br />mineral, overburden, or combination thereof 1n any calendar year (Rule 3.2); <br />3. This mining operation will not adversely affect the stability of any <br />significant, valuable 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 applicant/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 applicant/operator, I do not have any mining/prospecting operations 1n <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 />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 ~ day of ~~J/ ~~, ~y~~ <br />Ap 1 ant/Operator <br />By r <br />Title: <br />$tdte Of Ccl ~rad~ ) <br />Ss <br />County Of Fremnn t. ) <br />The f(~or~e~going instru1m/ent was <br />by k') 1-I ~ ~ezhe~K <br />..~ ~_.-..:~y_ <br />~. ~:~` m <br />°E~ 6Q: ~.,9~~~,~ <br />hihF v' <br />If Corporation Attest (Sea?) <br />By : ~.. <br />Corporate Secretary r Equivalent <br />Town/City/County Clerk <br />acknowledged before me this~~" day of _ />~,`Q9? , <br />as ~2~S~~e,v~ of L,o Ib ~~T ~'r~.c..• <br />~~/~~, <br />Notary Public <br />My Commission expires: y~ J <br />