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Certification: <br />As an authorised representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the 116 1 lowing <br />terms and condili )ns: <br />All necessary approvals from local government have been applied for (Rule 1.6?( 1) and (_')): <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 ofany 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 appIicant/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 34-32-1 I5(4)(d), C.R.S. 1984, as amended), then mining may occur within 200 feet. Prcx)fofan 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 34-32-1 15(4)(t), 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 Hoard finding. <br />6. 1 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 />This form has been approved ht' the.11ined Lund Reclamation Board pursuant to section 34-32-110,C .R.S., of the Mined Lund <br />Reclamation Art. Ann, alteration or modification of this form shall result in voiding unv permit issued rnr the altered or nrudified form and <br />subject the operator to cease and desist orders and eiril penalties for operating without a permit pursuant to section 34-32-123. C.R.S. <br />Signed and dated this (` I day of ^. t t ' ?J 1>? ?" C'` I <br />Rimrock Exploration & Development, Inc. <br />Applicant/Operator <br />1 f Corporation Attest (Seal) <br />7 <br />Signed: ?- Signed: ? --? <br />Corporate Secretary or Equivalent <br />Title: ,t ?t? yc b t'?r? fownlCityiCounty Clerk <br />t <br />State of _ f )`?? ?C I ) <br />) s? r?C <br />County of /??/)t'1 Y'1?? <br />The foregoing instrument was acknowledged before me this day of t- t ?VIIA <br />by as 6Zz-;:of <br />.oY O.. VOTARY Ill 1111 C <br />My Commission expires: f ,7? <br />SIGNATURES MUST RE IN BLUE INK