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r <br />e. <br />-5- <br />Certification: <br />As as authorized representative of the applicant, I hereby certify that the operation <br />described has met the m;n;n,,,m requirements of the following terms and ccaditicns: <br />1. All aecessar~ approvals from local gove_-*:+„a^t have bees applied for <br />(Rule 1.6.2(1) and (2)); <br />2. This entire mining coeration will not affect more than 30 acres; <br />3. This mining operation will not adversely affect the stability of nay significant, <br />valuable and permanent man-made structure(s) located within tro hundred (200) feet of <br />the affected lands. (However, where there is as agreement between the <br />applicant/operator and the persons hav?ng an interest in the structure that damage to <br />the structure is to be comaensated for by the applicant/aoerator (Section <br />34-32-115 (4) (d) , C.R.S. 1984, as amended) , then m; n;ng may oc~cr within 200 feet. <br />Prcof of an agreement must. be submitted to the Office prior to the decision date.) <br />4. No +~~^~^g weration wi11 be located on lands where such operations are pzohibited <br />by law (Section 34-32-115(4)(f), C.R.S. 1984, as amended);" <br />5. As the applicant/cperator, I do not have nay mining/prospecting operations in <br />this state of Colorado cii-zently in violation of the provisions of the Mined Land <br />Reclamation Act (Settion 34-32-120, C.R.S. 1984, as amended) as determined through a <br />Board finding. <br />6. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S 1984, ae amended. <br />Signed and dated this S day of .. u ~ ~. <br />~~`A~~lri,can/t///'I ~rator <br />Signed: ~e/'<.C~l' ~-i z~-~- <br />Title: /~J~~~1~~2-care-1_ <br />r_ <br />State of ~/1/ ~-~f'~ ) <br />County of ~ G%c9,[-[ _C~ ; ss <br />~dfia ~~ ic~~ z,0 Sail~~td vw~-L <br />If Cozporatioa Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing inst+~^~=^t was aclmowledged before me this ~ day of ~ ~. ~CC~ <br />~iC1~ /~«,i2 Q~lJ .~ of ~t c.w'Y~Q~i - ~,Ci~L%(/ ~~'-c-~, <br />6FMFRALllOLI1M~yNe~ i ~ ~_t C_~2.L- _ _ 0, <br />7glQgl`~EN No Public <br />Ilf ~. ~ ~1120p~ i <br />My Commission e~iree: ~ LL ..C.~'~~ <br />i / <br />2S^_F.wpt <br />nonarva) <br />r <br /> <br />