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_~_ <br />Certification: <br />As an authorized representative of We applicant, I hereby certify that the operation described has met the mininuun requirements of the <br />following terms and conditions:. <br />All necessary approvals from local government have been applied for (Rule 1.6.2(1) and (2)); <br />2. This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in <br />any calendar year. (defined in C.R.S. 34-32-110(2xa)); <br />3. This mining operation will not adversely affect the stability of any significant, valuable acrd pernzanent man-made <br />structure(s) located within two hundred (200) feet of the affected (ands. (However, where there is an agreement between the <br />applicantioperator and the persons having an interest in the structure that darnage to the structure is m be compensated for by the <br />appticantloperatar (Section 34-32-115(4xd), C.R.S. 1984, as amended), then mining rttay occur within 200 feet. Proof of an <br />agreemetrt must be submitted to the Office prior to the decision date.) <br />4. iVo mining operation will be located on lands where such operations are prohibited by taw (Section 34-32-115(4)(f), <br />C.R.S. 1984, as amended}; <br />5. As the appiicantloperato~ I do not have any mining/prospecting operations in this state of Colorado currently in <br />violation of the provisions of the Mined Land Reclamation Act {Section 34-32-120, C.R.S. 1984, as amended) as determined <br />through a Board fording. <br />6. I understand that statements in the application are being made under penalty of perjury and that false statements ode <br />herein are punishable sus a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110,C.1i~S., of the Mined Land <br />Reclamation Ark Any alteration or modification of this form shall result in voidJng any permit issued on the altered or modified <br />form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to section <br />34-32-123, C.RS. <br />Signed and dated this ~`.__..~_ day of`~~,.,~ ~„~ ~~~ ~~ <br />c <br />Ap 'c (/Operator ' <br />Title: ~~,~~~.~~~,~,~,~ <br />State of ~I~r~E~'~-.-----..._..______._ _.) <br />County of /~~~!,! ~!1._~ ~._._..__ _) <br />The foregoing iat,5trument was acknowledged before me this _ ~.,..~.___ day of ~ <br />bx .. - g ~ ~~ as ~~ib.LLGof <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />..~,..., . ,........ d <br />~rfy Conunissian expires: <br />SIGNATL'TtES MZsS'1' BE IN BLLrE INK <br />SERENA L. VIGIL <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />Commission Expires 10/2/2011 <br />