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2014-04-09_REVISION - M1980110
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2014-04-09_REVISION - M1980110
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Entry Properties
Last modified
6/15/2021 5:47:21 PM
Creation date
4/10/2014 11:20:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980110
IBM Index Class Name
REVISION
Doc Date
4/9/2014
Doc Name
Resubmittal of Amendment Application AM06
From
E470 Public Highway Authority
To
DRMS
Type & Sequence
AM6
Email Name
TOD
Media Type
D
Archive
No
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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 <br />requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man -made structure(s) inexistence at the time <br />this application is filed, and located within 200 feet of the proposed affected area have been identified in this application <br />(Section 34- 32.5- 115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34- 32.5- 115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extraction/exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials <br />(Section 34- 32.5 -120, C.R.S.) as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements <br />made herein are punishable as a Class 1 misdemeanor pursuant to Section 18 -8 -503, C.R.S. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34- 32.5 -112,C RS, of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall result in voiding any <br />permit issued on the altered or modified form and subject the operator to cease and desist orders and civil penalties for operating <br />without a permit pursuant to section 34- 32.5 -123, C.R.S. j <br />Signed and dated this Z ?r� day of <br />Lao PLVLie -0 Mmjtr A-71�J <br />Applicant /O erator or Company Name <br />Signed: <br />DAVID M• � �iL <br />Title: D =�J-v Cuuiftye D I r_+Or" <br />State of Co b r a d.o ) <br />ss. <br />County of Ara pa Inoue ) <br />If Corporation Attest (Seal) <br />Signed: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this az4 day of Mare <br />by David A. K- r►5rt -tck.. asDe-pu TEtteuttvt Diree6-of 6-Ii7b fLbiic Ai'ghsM � <br />DIANE LUNDQUIST Notary Public tavx � C1 Ul'S4- <br />Notary Public <br />State of Colorado My Commission expires: 6cakmGer QS, a101S <br />SIGNATURES MUST BE IN BLUE INK <br />You must post sufficient Notices at the location of the proposed mine site to clearly identify the site as the location of a <br />
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