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-7- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requires-vents 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. 3432-110(2)(a)); <br />3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br />structure(s) located within two hundred (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 to the structure is to be compensated for by the <br />applicant/operator (Section 34-32-115(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an <br />agreement must be submitted 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 (Section 34-32-115(4)(f), <br />C.R.S. 1984, as amended); <br />5. As the applicantloperator, 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 finding. <br />6. I understand that statements in the application are being made under penalty of perjury and that false statements trade <br />herein are punishable as a Class I 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-I10,C.RS., of the Mined Land <br />Reclamation Act. Any alteration or modi}lcation of this form shall result in voiding 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.R.S. <br />?? <br />TL4NC <br />Signed and dated this day of <br />V^&"kv-l 74K <br />Applicant! rator <br />By: <br />Title: Viers- 6fesIy6-v 'r--- <br />State of l; owm DO_ <br />} ss. <br />County of <br />a?as' <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this day of J t)u t; Z BO <br />, <br />by ?qAkJ- IAA Cb-\/ Llr as _ v i ff - <br />,?LI?C?J'"? of _ (- Ulva .l5_._ kSU?taC1= 1?1 G . <br />_d --------- <br />Notary Public <br />My ?.ttnIr21€SSion expires: <br />ATURES MUST BE IN BLUR INK