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-7- <br />Certifreatlon: <br />As an authorized representative of the applicant, I hereby certify that the opcration described has metthe minimum requirements of the following <br />terms and conditions: <br />1. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made structure(s) located <br />within two hundred (200) feet of the affected lands. (However, where there is an agreement between the applicant'operator and the persons <br />having an interest in the stricture that damage to the structure is to be compensated for by the applicant/operator (Section 834-32-115(4)(d), <br />C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an agreement must be submitted to the Office prior to the <br />decision date.) <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section 34-32-115(4)(f), C.R.S, 1984, as <br />amended): <br />3, As the applicantioperator, I do not have any mining/prospecting operations in this state ofColorado currently in violation of the provisions <br />of the Mined Land Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a Board finding. <br />4..1 understand that statements in the application are beingmade underpenaltyofperjtuy and that false statements made herein are punishable <br />as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amcadcd. <br />r'his farms has been approved by the Mined Land Reclantaden Board pursuant to seaau 34-32112,C,R. S, of the Afined Land Recta n tdon Act. <br />Any alteration or modification of this form shall result in voldingany permitissued on thealtered or nW?rted jorm and strbfectehe operatorto <br />cease and desist orders and civil penalties for operating without a permit prrsuairt to section 34-32-123, C:R.S. <br />Signed and dated thus _____ day of November , 2007 <br />Battle Mountain Resources Inc. <br />If Corporation Attest (Corporate/County Seal) <br />Applicant/Operator Name <br />Signatur ,_ Sharon E. Thomas <br />Vice Rresident and Secretary <br />Title: Town/City/County Clerk <br />State of -CQJQxAdo <br />County of-j2gnver) <br />) ss. <br />Corporate Secretary or <br /> <br />The foregoing instrument was aclurowledged before me tlrisjN y of NovemjeT , 2007. <br />Sharon E. Thomas, Vice President and Secretary, Battle Mountain Resources Inc. <br />by as ____ of <br />. <br />Notary Public <br />My Commission expires: <br />M:tMIN?SftARF'tVSFORMS'd2923FDMO.I12 (05/16414)