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-7- <br />rtification: <br />As an authorized repri <br />terms and conditions: <br />All <br />2. This e <br />calendar year ( <br />of the applicant, I hereby certify that the operation described has met the minimum requirements of the following <br />approvals from local government have been applied for (Rule 1.6.2(1) and (2)); <br />mining operation will not extract more than 70,000 tons of mineral, overburden, or combination thereof in any <br />;d 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 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 a pplicant/operator, I do not have any mining/prospecting operations in this state of Colorado currently in violation of the <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. 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 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-110,C.R.S., of the Mined Land <br />Reclamation Act. Any alteration or modification of this form shall result in voiding any permit issued on the altered or modified form and <br />?bject the operator to cease ai cj desist orders and7ciivvill pyenalties for operating without a permit pursuant to section 34-32-123, CRS. <br />Signed and dated this day of ?/?/ i? ?OD? <br />Venture Resources, <br />Applicant/Operator <br />Signed: i <br />Title: Vice President <br />State of ? O ?b <br />County of UEM 00 <br />The foregoing instrumen <br />by PJiW J , ill <br />U <br />If Corporation Attest (Seal) <br />) ss. <br />was acknowledged before me this <br />"k' as v <br />Signed: <br />j CEkfff- <br />Dx CisTV!'ALU <br />I l T?l <br />'NMIWOT <br />day of', <br />_-r , <br />1 Nom. <br />NOTARY PUBLIC <br />My Commission expires: 4,21-Z!)3 <br />SIGNATURES MUST BE IN BLUE INK