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• _ <br />-8- <br />Certiflestion <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of the <br />following terms and conditions: <br />1- This mining operation will not adversely affect the stability ofany significant, valuable and permanent man -made structures) <br />located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the applicant/operator <br />and the persons having an interest in the structure that damage to the structure is to be compensated for by the applicant/operator <br />(Section 834 -32 -11 S(4xd), C.R.S. 1984, as amended), then mining may occur within 200 feet. Proof of an agreement must be <br />submitted to the Office prior to the decision date.) <br />2. 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 />3. As the applicant/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 <br />finding. <br />4. I understand that statements in the application are being made under penalty ofper ury 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 34-32-112, C It S., of the Mined Land <br />Reclamation Act. Anyaltaradon ormodiJlcation ofthis form shall resalt in voiding anypennit issued oa the altered orrnod fed form <br />and sabject the operator to cease and desist orders and civil peneffiesfor operating wilhoul a pennitpursuant to section 34- 32-123, <br />CR.& <br />• Signed and dated this day of , D/O - <br />Cllmex Molybdenum Company, Climax W e If Corporation Attest (Corporate/County Seat) <br />Applies Operator Name <br />Signature: By: /1 4 <br />u s ram t <br />' • Corporate Secretarya6 WffiiWM <br />Title: �T f.2- �� $ f)-s^� Town/City/County CIerk <br />State of dlo/cic 1 0 ) <br />ss. <br />County of ele al el- ) <br />The fo;oing rum instent was acknowledged before me this S day of by V as :1 ° Pn/tvilC�� <br />Notary Public <br />. My Commission expires: M & *s „ C + e m mt salon EWiras <br />�zy. 2013 <br />