Laserfiche WebLink
-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) in existence 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, l 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. R.S., 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. !! -- <br />Signed and dated this 1 (." day of k ov `e - YJ ex" 2 01 s <br />VCLIrv(a C°Apa rt i.p5 L. <br />Applicant/Operator or Company.Name <br />Signed: <br />Title: President <br />State of e 0100610 <br />County of W QA <br />) ss. <br />If Corporation Attest (Seal) <br />Town/City/County Clerk <br />The foregoing instrument was acknowledged before me this -P44.' day of Iv V eY & O £ r <br />2015 by C &ri s{opiner L. Uavwk as ' <br />Presideas t of V0.rrq COMpQ t1 ieSplc_ . <br />JESSICA HOOVER <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20044035571 <br />My Commission Expires Oct 4, 2016 <br />My Commission expires: 10141 1 LP <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 />