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._J <br />-8- <br />Certification: <br /> <br />As an authorized representative ofthe 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 <br />structure(s) located within two hundred (200) feet of the affected lands. (However, where there is an agreement between the <br />applicant/operator and the persons having an interest in the structure that damage to the structure is to be compensated for by <br />the applicantloperator (Section 34-32-115(4xd), C.R.S.1984, as amended), then mining may occur within 200 feet. Roof of <br />an agreement must be 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), <br />C.RS. 1984, as amended); <br />3. As the applicantloperator, I do not have any minbg/prospecting operations in this state of Colorado currently in <br />violation of the provisions of the Mined Land Reclamation Act (Section 34-32-120, C.R.S.1984, as amended) as determined <br />through a Board finding. <br />4. I understand that statements in the application are being made under penalty ofpedury and that false statements made <br />herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503, C.RS 1984, as amended <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 3¢32-1I2,C.ILS., of the Mined Land <br />Reclamation Act Any akeradon or modification of this form shall result in voiding any permit issued on the altered or mod#Fed <br />form and subject the operator to cease and desist orders and civil penalties for operating without a permit pursuant to <br />section 34-32-123, C.1LS <br />Signed and dated this f,,14 31 day of 1W &fe_h 2011 <br />Mt. Elbert Mining Co., L.L.C. <br />Applicant/Opemtor or Company Name <br />Signed: <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate, Secretary or Equivalent <br />Town/City/County Clerk <br />71tle: Manager <br />State of <br />) ss. <br />County of <br />The foregoing ' ,,e?nt was acknowledged before me this 310 day of/rte/? j <br />by (:?i as ic?c- <br />?_ of-2 <br />?f??? ?(1 LL 1. <br />YO <br />Ue?? <br />Sylvia N Public <br />M. <br />O My Commission expires: <br />?? ?{e4 SIGNATURES MUST BE IN BLUE INK <br />+cwe(fteatexpkes 1-24-Ir