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- S - <br />Cerlificalion <br />As an authorized representative of the applicant, I hereby certify that the operation descrihed has met the minimum requirements of the <br />tollowring term; and conditions: <br />1. I'll is mining operation will not adversely attect the stahiIity ofany significant, valuable and permanent man-made structure(o <br />located w ithin two hundred ('_Utl) tcet of the atlccted lands. ( I lovvever, w here there is an agreement hemeen the applicant operator <br />and the person; having an interest in the structure that damage to the structure is to he compensated for by the applicant operator <br />(Section a34-32-1 I i(4)(d), C.R.S. 195.3, as amended), then mining nuty occur within _'llll feet. Proof of in agreement must be <br />submitted to the Office prior to the decision (Lite.) <br />?. No mining operation will he located on lands where such operation; are prohibited by law (Section 34-Q-1 I5(4)(t). C.R.S. <br />1954, as amended): <br />3. As the applicant'operator, I do not have any mining prospecting operations in this state of Colorado currently in violation ofthe <br />provisions of the dined Land Reclamation Act (Section 34-32-120, C.R.S. 1954, as amended) as determined through a Board <br />finding. <br />4. 1 understand that ;tatements in the application are being made under penalty of perjury and that talse stmemenis made herein arc <br />punkhable as a Class I mi;demeanor pursuant to Section I C'.R.S I9R4, as amended. <br />Phis jirrm has been approved ht' the Mined Land Reclamation Board pursuant to section 34-32-112,C.R..S., of the alined Laird <br />Reclamation I ct. Itrr alterrrtiun or nrudijicutiun of this jortrr shall result in voidirr,, al{ I' permit issued on the altered or modified farm <br />and srthje(,t the operator to cease and desist orders and civil penalties for operating without it permit pursuant to section 34-32-121. <br />C. R.S. <br />m , <br />Signed and dated this day of Ou <br />Denison Mines (USA) Corp. I ICorporat/ionA est (Corporate County Scal) <br />Applic3m Operator Name <br />Signature: By: i <br />Corp ate Secreta or Iiqui%alent <br />?????• 1 111 , <br /> <br />State of CO)oyOzi <br />C'ouniv of /in y?tY ) <br />The foregoing insu•Umem was acknowledged before me this <br />hyF?l? , ? ,. a.; J to of ?ri?5r,>n ,l? ?n?au5?)CorP <br />Town City County Clerk <br />day of AAtq.l-; ZUU q <br />11L ' 14,6,t- <br />j otai'y Public <br />v1y Commission expires: 3T ) _?