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-8- <br />Certification: <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 />looted within two hundred (200) fleet of the affected lands. (However, where there is an agreement between the applicant/opemtor <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(4xf), 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. 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 1.8-8-503, C.R.S. 1984, as amended. <br />This form has been approved by the Mined Land Reclanwfion Board pursuant to secdon 34`32-112,CRS, of the Mined Land <br />Reclamation Act: Any alleraden or nwi i, flcadon of this form shall result in voiding any perndt issued on the altered or modified form <br />and subject the operator to cease and desist orders and civil penaides for operating without a pmnli pursuant to section 34-32-123, <br />CRS <br />Signed and dated this 1 Lr"" day of Oecy G :txo . <br />Wildcat Mining Corporation If Corporation Attest (Corporate/County Seal) <br />Applicant/Oper r e <br />Signature By:,,,-?i?: ? . tCLA__) <br />Title: President <br />State of j!? lot } <br />} ss. <br />County of ?94&OA <br />The foregoing instrument was acknowledged before me this <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />1-VW <br />day of2-010 <br />by l?? 2 5i Hof ltd ll a 1 (I i -4 Li iV;;bg?DtJ <br />Ap,W pW Notary Public Stab of Florida Notary Public <br />`F Kimberly E Leppin <br />der My Commissbn EED14410 My Commission expires: to b D V00 Zri? <br />p Exphet 1 0/1 =014