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• -5 • <br />Certification• <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. Thin mining operation rill not adversely affect the stability of any <br />significant, valuable and permanent man-made structure(s) located within two hundred <br />(200) feet of the affected lands. (However, There there is as agreement between the <br />applicant/operator sad the persons having as interest is the structure that damage <br />to the structure ie to be compensated for by the applicant/operator (Section <br />834-32-115(4)(dl, 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 rill be located oa lands where ouch operations are <br />pzo)iibited by lax (Section 34-32-115(4)(f), C.R.S. 1984, as amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations is <br />this state of Colorado currently in violation of the prwieioas of the Mined Laced <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through <br />a Board finding. <br />4. I~uaderstaad 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 10th mil, of May 1995 <br />Rio Blanco County <br />Richard D. Ullom <br />If Corporation Attest (Seal) <br />Corporate Secretary or 8quivalent <br />Town/City/County Clerk. <br />State of Colorado ) <br />ss <br />County of Rio Blanco ) <br />The tru <br />ledge <br />d bef <br />ore me this <br />foreg <br />oi <br />n <br />g <br />i <br />ns <br />m <br />en <br />t <br />was acknow // ~/ / ~ <br />~ <br />d <br />a <br />y of 7 <br />/'~ <br />, <br />~ <br />by A /~ <br />~ <br />/~ <br />~ <br />~ <br />~ <br />p <br />l <br />~, <br />` <br />/ <br />~ <br />Q <br />~ <br />' 0 ,C~l> I1NL .FJ .(i~-C.( 19r~) as (.F~2rZfl~iom.r /r4P[?.L of ,7 <br />/ <br />7 <br />~{"Jh~-~~42C0 ,( ~} <br />r1 <br />~t <br />/ <br />~ ~,NT~(J~~-~ <br /> <br />_ -~ _ -- ~ Nota Public !7 <br />_ ~ My Commission expires: ~-~ / / 9 9 <br />2ffi3F <br />(10114194) <br />Title: Road & Bridge Supervisor <br />