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2017-05-04_REVISION - M1987088
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2017-05-04_REVISION - M1987088
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Last modified
6/16/2021 5:20:30 PM
Creation date
5/5/2017 9:15:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987088
IBM Index Class Name
REVISION
Doc Date
5/4/2017
Doc Name
Completeness Notice
From
DRMS
To
Various
Type & Sequence
AR1
Email Name
LJW
GRM
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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-7- <br /> Certification• <br /> As an authorized representative of the applicant, I hereby certify that the operation <br /> described has met the minimum requirements of the following terms and conditions: <br /> 1. To the best of my knowledge, all significant, valuable and permanent man-made <br /> structure(s) in existence at the time this application is filed, and located within 200 <br /> feet of the proposed affected area have been identified in this application (Section 34- <br /> 32.5-115(4) (e), C.R.S. ). <br /> 2. No mining operation will be located on lands where such operations are prohibited by <br /> law (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 <br /> State of Colorado currently in violation of the provisions of the Colorado Land <br /> Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.) <br /> as determined through a Board finding. <br /> 4. I understand that statements in the application are being made under penalty of <br /> perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br /> pursuant to Section 18-8-503, C.R.S. <br /> Signed and dated this 16TH day of FEBRUARY , 1996 <br /> BARBARA HUBBS, TRUSTEE If Corporation Attest (Seal) <br /> Applicant/operator <br /> .k�Signed: ������ �� Signed: <br /> Corporate Secretary or Equivalent <br /> Title: ,r�/i�/��� Town/City/County Clerk <br /> State of ARIZONA ) <br /> as <br /> County of MOHAVE ) <br /> The foregoing Lnstrument was acknowledged before m this day of <br /> by as A of <br /> ~�OFFICIAL SEAL Notary public <br /> - DEBORAH A. HICKMAN arY <br /> rOT 1.1. HAV•STATE OF RI{ON <br /> I:L�HAVE COUNTY Hy Commission expires: <br /> l omn.,sslon Expires Me 14,1996 <br /> Ol/M/96 2MFOO.112 <br /> I <br /> I <br />
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