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I . • • • <br /> <br />-4- <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.- Ail necessary approvals from local government have been applied for <br />(Rule 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 currentiy 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 18-8pp-503, C.R.S. <br />Signed and dated thi s a~ day of~fle.~0,z` 9~- . <br />Applicant/Operator <br />By:~aiciA ~A2titSa/a.2~_ <br />Title: Vlcf:-PBFS~a~'Al7 <br />State of ~e lorz wbo > <br />ss <br />County of 'p~~-TA > <br />If Corporation Attest (Seal) <br /> <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this~day of ~~~p-r ~., <br />by~reiciN ~R~usuloK7tf as ~in~~2t-siDF~i-r of~~Y~Bo~=roan ~Ati~ ~'oeo <br />,~~- <br />Notary Pu i (J <br />2821E (05/91) My Commission expires: ~/9- 9 <br />