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C~ <br />-5- <br /> <br />• <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. This mining operation will 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, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage <br />to the structure is to be compensated for by the applicant/operator (Section <br />834-32-115(4)(d), C.R,S. 1984, ae 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 will be located on lands where such operations are <br />prohibited by law (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 in <br />this state of Colorado currently in violation of the provisions of the Mined Land <br />Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through <br />a Board finding. <br />4. 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 1984, as amended. <br />Signed and dat4d is ~~ day f lJ~CE~A1(~~'.~ <br />Applicant/Operator If Corporation Attest (Seal) <br />// 00--// J(~ s <br />By: IhClI~T / 7"~~~~~ By: <br />Title: (~?C/1PQCC~ /~7Gi?Coc, ~~ <br />State of ) <br />ss <br />County of ) <br />Corporate Secretary or Hquivalent <br />Town/City/County Clerk. <br />The foregoing instrument was acknowledged before me this yjl_ day of 11-ECE ~, <br />by ,~ll'hT 1~IE~SE7~ as ('~en~al m~nFlg~(2 of H()'IF~iI~ J~AJA ~.~~1" <br />~ s c, °~11OQm ~1t~.2~1 <br />P,,...,..,,,C Notary Public <br />,• .ti <br />My Commission expires: J`- I I9 I r~iOQ~ <br />~J9 ~P~ i <br />~°~ toe <br />~~TE~OE Goy <br />2823F <br />(10/14/94) <br />