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<br />-4- <br /> <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described hats met the minimum requirements of the following terms and conditions: <br />1. All necessary approvals from local government have been applied for <br />(Rule 3..2(1 )(d )); <br />2. Thais 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. Thais mining operation will not adversely affect the stability of any <br />significant, valu able 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 oc a r within 200 feet. Proof of an <br />agreement must be submitted to the Division prior to the decision date. <br />4. No mining operation wilt 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 />Signed and dated this ~ •~ day of ~' <br />A icant/ Aerator If Corporation Attest (Seal) <br />By: By: <br />Title: <br />State of ~~) <br />ss <br />County of ~„~~) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing % strument was acknowledg d bef/gre me this ~ day of <br />by f ~~a ~~a~ as cClrnr of <br />,°~°" ~~ <br />Notary Public <br />2321f (01/91) My Commission expires <br />~, <br /> <br />