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Certification <br />As an authorized representative ofthe applicant, I hereby certify that the operation described has met the minimum requirements of the following <br />terms and conditions: <br />All necessary approvals from local go%crnment have been applied for (Rule 1.6.2(l ) and (2)): <br />rhis entire mining operation will not extract more than 711,00O toms of mineral, overburden, or combination thcreof in any <br />calendaryear (defined in Rule 1.1('_4)), <br />?. ['his mining operation will not adversely affect the stability of any significant, valuable and permanent man-made structure(s) <br />located within two hundred (200) feet of the affected land,. (I lowever, where there is an agreement between the applicant! operator and <br />the persons having an interest in the structure that damage to the structure is to he compensated for by the applicant operator <br />(Section 34-32-11 5(4)(d), C.R.S. 1954, as amended), then mining may occur within 200 feet. ['roofol•an agreement nntSt he suhmitted to <br />the Office prior to the decision date.) <br />4. No mining operation will he located on lands where Such operations are prohibited by law (Section 34-32-1150)(1), C.R.S. <br />19S4, as amended): <br />5. As the applicant:'operator, I do not have any mining, prospecting operation; in this State of Colorado currently in violation of the <br />provisions of the Mined Land Reclamation Act (Section 34-12-120, C.R.S. I o)S4, as amended) as determined through a Board finding. <br />6. 1 understand that statements in the application are being Made under penalty ol'perjury and that false statement,; made herein are <br />punishable as a Class I misdemeanor pursuant to Section I S-S-303, (-.R.S. 1954, as amended. <br />This %orm has been approved by the :Wined Lund Reclamation Board pursuant to section 34-32-110,C.R.S'., uJ'the Witted Land <br />Reclamation Ict. Itit• alteration or modilic•ation o% this Joan shall re•.stt/t in wtiditi anY permit is.cned on the cdtere•d or mndi/ie•d_lorm and <br />subject the operator to cease and desist orders and civil penalties for operatitt, without it permit pursuant to section 34-32-123, C.R.S•. <br />Signed and dated this day of /V to L? 2 cx) <br />h.?? Aljl-rlO_? (s.4)COta <br />Ajoic:ant,Operator <br />Si-ne11: C <br />Title: <br />?' t o i ? .? <br />State of l'o I0f'adt ) <br />16. ss. <br />County of Yilea l ) <br />II-Corporation Attest (S° 1) <br />Signed: <br />Corporate Secretary or Equix alent <br />rown'City County Clerk <br />the foregoing instrument was acknowled ed before me this <br />Z -divot' 71W 4?i <br />bY, I,'1_._I/L' as Vt?7G1 of ?S rys ?,)CGL?• <br />A. NOT., 11131,1C <br />\k Commission expires: J? Z77 &D <br />SIGNA 1TRES MUST BE I\ B1,1 1: INK