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c~s~: <br />~1s an authorimd rep[esertlntive of the eppfic+mt, I hereby certify iltat the opcation desert-bed has met the <br />requirements of the following tears and conditions: <br />1. All necessary approvals from local government have been applied for (Rule 1.6.2(1) and (2)); <br />j ~ 5 ~~ <br />Sigrted end Mr.Yi thin day of ~ <br />~~ ,. <br />2. This entire mining operation wig not exUad more ttren 70,000 tons of mvrerel, werbtvden, or combination <br />thereof in any calendar year (de&ned in Rule 1.1 (24)); <br />3. This mining operation wiD not adversely affect the stabifity of any significant vahrable end permanent mart- <br />made structures(s) located wittrin two hutrdred (200) Beet of the affected larder. (however, where there is an <br />agreement between the apphcenUoperntor and the pennons having en interest in the atmchue that damage to dte <br />stnrctur,: is to be compensated for by the applicant/operator (Section 83432-I15 (4) (d), C.R.S. 1984, as <br />amended), then mining may occur within 200 feet Proof of an egreemmt must be submitted to the OtEce <br />prior to the decision date.) <br />4. No mining operation well be located on laztds where such operations ere prohibited by law (section 3432-1 l4 <br />(4) (~, C.R.S. 1984, as emended); <br />5 As the appticAnt/nperetor,l do not have any trtirtutg/prospectirtg operations ht tltis state of Colorado ~tiY <br />ire violation of the provisions of the Mired Land Reclamation Act (Secion 3432.120, C.RS. 1984, as <br />amended) as detemtined through a Board futding. <br />6. 1 understand that statements m the application ate being made under penahy of perjury and that tidee <br />statements made herein are punishable as a Claus 1 misdememror puranertt to Sectiost 18-8.303, C.RS. 1984, ere <br />emended. <br />Sigrted: <br />75t1e: <br />State of <br />ApplicmrUOperator <br />Signed: <br />)~ <br />County of. _~ <br />The foregoing instnmient was acl~towledged befora me this <br />by <br />es <br />day <br />of <br />Notary Public <br />My Cornmiseion Fatpuea: <br />ffCorporationAttest (Seal) <br />Corporate Sactetary err 84uivelart <br />Town/CilylCorady Clef <br />d <br />