2017-02-24_PERMIT FILE - M2017007 ‎(5)‎

• Permit No: M2017007
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/24/2017
• Doc Name: Application
• From: Colorado Crushing, Inc.
• To: DRMS
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

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Certification:
As an amhoricvd representative of the applicant, I hereby certify that the operation described has met the minimum
requirements of the following terms and conditions:
1. To the best of my knowledge,all significant,valuable and permanent man-made structure(s)inexistence at the time
this application is filed,and located within 200 feet of the proposed affected area have been identified in this application
(Section 34-32.5-115(4)(e), C.R.S.).
2. No mining operation will be located on lands where such operations are prohibited by law
(Section 34-32.5-115(4)(f), C.R.S.;
3. As the applicant/operator,I do not have any extractionlexploration operations in the State of Colorado currently in
violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials
(Section 34-32.5-120,C.R.S.) as determined through a Board friding.
4. I understand that statements in the application are being made under penalty of perjury and that false statements
made herein are punishable as a Class I misdemeanor pursuant to Section 18-8-503,C.R.S.
This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-112,GR.S., of tke Cbkcg4o.pand
Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form shall resrrltrri voiding inty.
permit issued on the altered or modified form and subject the operator to cease and desist orders and civil pena*.!_)brltperaVxg
without a permit pursuant to section 34-32.5-123,C.R.SS_.
Signed and dated this�_day of rtACkYJ lColorado Crushing,Inc If Corporation Attest(Seal)
Applicant/Operator N
r
Signed: Signed: --
Corporate Secretary or Equivalent
Title: President Town/City/County Clerk
State of Colorado 1
ss.
County of Pueblo )
The foregoing instrument was acknowledged before me this day of FC r
cA
'�01',lby Rockford (Rocky) Ryan as President of
DAME MM D
NOTARY P Public
STATE Of COL�p35i� p
NOTARY 1�0S��,0,2017 My Commission expires:!
My OOt�tMtSStOtt
SIGNATURES MUST BE IN BLUE INK
You must post sufficient Notices at the location of the proposed mine site to clearly identify the site as the location of a