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<br />-4- <br /> <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. A11 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 in an. calendar year CRule 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 1s 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 in <br />this state of Colorado currently in violation of the provisions of the Mined land <br />Reclamation Act CC.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 _ ~ ors ( 1~9L - <br />\ J <br />L <br />Appl cant/Opnerat(o~r <br />By : ..c.~f" \ " <br />Title: _f ~_ 11.eS . <br />State of /Q ) <br />ss <br />County of ) <br />~~ i. <br />T \ ~~ '_ <br />If Corporation Attest (Sea~-)-J''~ <br />By: <br />Corporate ecretary or Equivalent <br />Town/City/County Clerk <br />The foregoing i/n~strument was acknowl dged before me this ~4 day of {~ ~dLc(, RZ.-r <br />' by NcGtC Pb2 Lam- as U ~ ~~2tss of ~~-~- I ~~~ . <br />\ ~l~i~j (1 ~~ <br />`,^~^ Notary Public <br />2821E (02/92) My Commission expires: ~_ <br />