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<br />-a- <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 />CRule 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 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 in <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 />Si gne and dated thi s I ~ day of iUoJ ~j; <br />A lic Aerator <br />Title: _pWre~ <br />State of /.'oGo.C~o ~ ) <br />) ss <br />County of .~~°ir~~ ) <br />If Corporation Attest CSeal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this /J'~~ay of <br />b y .%~.~ ~fl ~y"J~/E Z a s l~G~iN[-~L of <br /> <br />Notary Public <br />~~ ~ , - J <br />vim, <br />:• • Lv+ , ~ <br />:~ '~ 1- <br />~.~ ~ ~ <br />~d~a~st>c. ~ , / <br />.. ' ~ .. <br />2821E (04/92) My Commission expires: i1 /~~~ <br />