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Certification: <br />As an authorized representative oft he 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 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 anv <br />calendar year (defined in Rule 1.1(24)); <br />3. This 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 lands. (However, where there is an agreement between the applicantioperator and <br />the persons having an interest in the structure that damage to the structure is to be 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. Proof ofan agreement must be submitted to <br />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), C.R.S. <br />1984, as amended), <br />5. As the applicant/operator, I do not have anv mining'prospecting operations in this state of Colorado currently in violation ofthe <br />provisions of the Mined Land Reclamation Act (Section 34-32-120, C.R.S. 1954, as amended) as determined through a Board finding <br />6. 1 understand that statements in the application are being made under penalty of her ur\ and that false statements made herein are <br />punishable as a Class 1 misdemeanor pursuant to Section 1 S-5-503, C.R.S. 1954, as amctided. <br />This firm has been approved ht, the alined Land Rec•lantatiou Board pursuant to section 34-32-110,0 R.S.. of the ;/lined Land <br />Reclamation Act. .4m• alteration or mndiTcation of this font shall result in voiding anY permit issuer/ on the altered or modijieel font and <br />subject the operator to cease and desist orders and civil penalties fur operating without a permit pursuant to section 34-32-123, C.R.S. <br />Signed and dated this 61' ", day of Mil l /? Z (X) <br />If Corporation Attest (Seal) <br />Signed: <br />orporate Secretarv or Equivalent <br />To),vn/CitviCounty Clerk <br />The foregoing instrument was acknowledged before me this J.Z h day of / V 1 A Q by PhlI Ii7 V <br />))_ k- - as1?1 LL/?111fr1? of h c v <br />y, 1? n <br />NOT 1' Pl BLI? <br />My Commission expires a?Z-7 7 <br />IZ013 <br />SIGNATURES m S'1' BE IN BLUE INK <br />State of' CO I? ,? V ) <br />ss. <br />County of-pe hJ Q. r )