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• <br />-5- <br />Certification: <br />i <br />As an authorized representative of the applicant, (hereby certify that the operation described has met the minimum <br />requirements of the following terms and conditions: <br />All necessary approvals Bom local government have been applied for (Rule 1.6.2(1) and (?)); <br />2. This entire mining operation will not affect more than 30 acres; <br />3. This mining operation will not adversely aE'ect the stability of any significant, valuable and <br />permanen[ man-made structure(s) located within two hundred (200) feet of the affected lands. (However. <br />where there is an agreement between the appiicandoperator and the persons having an interest in the struaure <br />that damage to the structure is to be compensated for by the applicant/operator (Section 34-32-I I5(4)(d), <br />C.R.S. 1984, az amended), then mining may occur within 200 feet. Proof of an agreement must be submitted <br />to the Office prior to the decision date.) <br />4. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32-I 15(4xf), C.R.S. 1984, az amended); <br />5. As the appGtarrt/operafor, I do not have any mirting/prospeaing operations in this state of Colorado <br />cvrtently in violation ofthe provisions ofthe Mined Card Reclamation Act (Section 34-32-120, C.R.S. 1984, <br />as amended) az determined through a Board Ending. <br />6. I understand that statematts in the appGption are being made under penalty of perjrry and that Calse <br />statemertts made herein are punishable as a Class l misdemeanor pursuant to Section i 8-8-503, C.R.S. 1984, <br />az amended. <br />Signed and dated this r % ~ day of !499 . <br />Applicant/Operator <br /> <br />Title: ~.aY7 ..~t /1~.4..Sy-~ <br />If Corporation Attest (Seal) <br />By: <br />C o Secretary or Equivalent <br />Town/City/County Clerk <br />State of '~ ~ ~.D.,~~ ) <br />n ) ss. <br />County of `~'~~~~ ) <br />nn The f~~o~~~egoing instrument waz acknowle!edged b//e~fore me this ~ day of <br />byC.~i r ~ .~l~i)G~Z ~~) as~iC2X ~.'JTC7 a!f /~.~~q7 oF~ <br />28L'F.wpf (0/ION9) <br />My Commission expires: <br />z <br />