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Certification: <br />-7- <br />As an authorized representative ofthe applicant, I hereby certify that the operation described has met the minimum requirements ofthe 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 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 permanent man-made structure(s) <br />located within two hundred (200) feet ofthe affected lands. (However, 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 34-32-115(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)(f), C.R.S. <br />1984, as amended); <br />5. As the applicaut/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 />6. 1 understand that statements in the application are being made under ofpe <br />g penalty rjury and that false statements made herein are <br />punishable as a Class 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amended. <br />This fomn has been approved by the Mined Land Reclamation Boardpursuant to section 34-32-110,GR.S., of the Mined Land <br />ReclanzWon Act. Any alteration or mo&frcadon of this form shall result in voiding any permit issued on the altered or modified form and <br />subject the operator to cease and desist orders and "penalties for operating without a permit pursuant to section 34-32-123, GRS <br />Signed and dated this day of _ 020 D9 <br />Rimrooic Exploration & Development, Inc. <br />Apphcant/Operator <br />Signed: <br />Title: <br />State of l XOt-Q } <br />County of_ /?),?d? <br />If Corporation Attest (Seal) r <br />Signed: <br />w <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this day <br />/ <br />by R IQ h C h fl e S of -;7-6 4 <br />as 17 Y <br />of <br />.r ARY A?? NOTARY PUBLIC <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK