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F_ <br />Certification <br />-8- <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 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 <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- 115(4)(d), 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)(1), 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 ofthe <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 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 />0 <br />This form has been approved by the Mined Land Reclamation: Board pursuant to section 34-32-112, C. R. S., of A Mined Land <br />Reclamation Act Any alteration or modification of this form shall result in voiding any permit issued on the altered or mod f ed form <br />and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to section 34 -32 -123, <br />GR.S. <br />Signed and dated this S 2 - day of S 44gt 2.4 i 0 <br />Wildcat Mining Corporation <br />Applicant/Operator Name <br />Title: Pre sident <br />Signature: i %&, :_� <br />V <br />state of Colorado <br />county of La Plata <br />) ss. <br />If Corporation Attest (Corporate /County Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town /City/County Clerk <br />The foregoing instrument was acknowledged before me this V day of 7e ,er 2—o i V <br />3ames M <br />by � as President o f Wildcat Mining C orporation <br />{. ^. � .rig r�-„ c.^. i rwr ..�...�_r✓�r_.ri:.�.u ✓.i.^.' l � <br />l' LINDA MUN bl <br />NOTARY ti ui 5 <br />STATE OF OOL RAD <br />• � r <br />Notary Public <br />My Commission expires: 1 f 1 q - ' 20 12 <br />