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Certification: <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 />All necessary approvals from local government ha\ e been applied for (Rule 1.6.2(1) and (2)1: <br />2. This entire mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in any <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 pennanent man-made structure(s) <br />located within two hundred (200) feet of the affected lands. (I-Iowever, 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 be compensated for by the applicant operator <br />(Section 34-32-1 15(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an 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)(0, C.R.S. <br />1984, as amended); <br />5. 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 Mined Land Reclamation Act (Section 34-32-120, C.R.S. 1984, as amended) as determined through a Board finding. <br />f,. I understand that statements in the application are being made under penalty of perjury and that false statements made herein are <br />punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amended. <br />7'his farm has been approved nt' the Mined Land Reclamation Board pursuant to section 34-32-110.C.R.S., of the Alined Land <br />Reclamation Act. Artt' alteration or modijic•ation of this form .shall result in voiding anY permit issued on the altered or modijied form and <br />subject the operator to cease and desist orders and civil penalties fir operating without a permit pursuant to section 34-32-123, C.R.S. <br />Signed and dated this l' day of <br />Rimrock Exploration & Development, Inc. If Corporation Attest (Seal) <br />ApplicariMperator <br />SKY p <br />Signed: ?G? YL ( C/? C/?j j ?/?""???????• Signed: I?LL? i2 1j4( <:r; <br />Corporate Secretary or F..quivalent <br />Title: Town`CityiCounty Clerk <br />State of Q?l, F 1 ) <br />) ss. <br />County of <br />The foregoing instrument was acknowledged before me this - day of 6;o <br />by as of <br />NOTARY PUBLIC <br />h1v Commission expires: ?111 <br />SIGNA-I IMS NIUS'l BF IN BLUE: INK