Laserfiche WebLink
-8- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements of to <br />fo wing 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 />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 />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 />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32-112,C.R.S, of the Mined Land <br />Reclamation A ct. Any alteration or modification of tl:is 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 />CR.S. <br />Signed and dated this S 2- day of S Aj° ` ' U O <br />Wildcat Mining Corporation If Corporation Attest (Corporate/County Seal) <br />Applicant/Operator Name <br />Signature: I A. <br />Title: President <br />state of Colorado <br />county of La Plata <br />) ss. <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this 22 Y%4- day of Se ?Gv?p,er 21 V <br />3amme-S M. <br />by CAM%tii _ as President of Wildcat Mining Corporation <br />LINDA MUNCH <br />NOTARY PUBLIC <br />ETA-'E OF COLORADO <br />• ? r <br />Notary Public <br />My Commission expires:__ 1 '? 12-C) 12