Laserfiche WebLink
•Certlflcaflon: <br />-8- <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the 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 structure 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)(0, C.R.S. 1984, as <br />amended); <br />3. As the applicant/operator, I do not have any mining/prospecting operations in this state of Colorado 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. I understand that statements in the application are being made under penalty ofpet ury 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 amended. <br />77ris form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-112,C.RS., ofthe Mined Land Reclamation Act. <br />Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified form and subject the operator to <br />cease and desist orders and civil penalties for operating without a permit pursuant to section 34-32-123, C.R.S. <br />Signed and dated this day of40t^1L . ?v. <br />• <br />Cripple Creek & Victor Gold <br />If Corporation Attest (Corporate/County Seal) <br />Mining Co. Applicant/Operator Name <br />Signature: ? - <br />OW By:- <br />Corporate Secretary or Equivalent <br />Title: Vice President of Town/City/County Clerk <br />AngloGoldAshanti (Colorado Corp.) and General Manager of Operations for Cripple Creek & Victor Gold Mining Co. <br />State of Colorado ) <br />County of Teller ) <br />) ss. <br />The foregoing instrument was acknowledged before me this I Y day of 04 ul j Sp DO <br />by k ot L2 al-, as <br />IV e "U C -V a -e - <br />E <br />of l5 n F i <br />*?M <br />-01111111- <br />NNNt? <br />r <br />Q GL1bliC <br />Commission expires: 0 - 9 - On / I <br />my r lion 1110 !i