Laserfiche WebLink
-5 - <br /> Certification <br /> As an authorized representative of the applicant,)hereby certify that the operation descr bed has met the minimum requirements <br /> of the following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Sectio 34-32.5-111(1)(a)(IX)); <br /> 2. This entire mining operation will not affect more than 30 acres; <br /> 3. 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 <br /> between the applicant/operator and the persons having an interest in the struct ire that damage to the structure is to be <br /> compensated for by the applicant/operator (Section 34-32.5-115(4)(e), C.R.S.), then mining may occur within 200 <br /> feet. Proof of an agreement must be submitted to the Office prior to the decision date.) <br /> 4. No mining operation will be located on lands where such operations are prohi ited by law(Section 34-32.5-115(4)(f), <br /> C.R.S.); <br /> 5. As the applicant/operator, I do not have any mining/exploration operations in this 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 /> 6. 1 understand that statements in the application are being made under penalty o perjury and that false statements made <br /> 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 section 34-32.5-111, C.R.S., of the <br /> Colorado Land Reclamation Act for the Extraction of Construction Materials. Any alteration or modification of this form <br /> shall result in voiding any permit issued on the altered or modified form and subject the operator to cease and desist orders <br /> and civil penalties for operating without a permit pursuant to section 34-32.5-123, C.R.S. <br /> Signed and dated this ZZ% day of ZfP <br /> Castle Rock Construction Company of Colorado,LLC <br /> 1f Corporation Attest(Seal) <br /> Applicant/Operator <br /> By: /ee' By: <br /> V if Corporate Secretary or Equivalent <br /> Title: 4-r-f - J Town/City/County Clerk <br /> State of C o I bea dl-O ) <br /> SS. <br /> County of //__ <br /> The foregoing instrument was acknowledged before me this 2-2,Na day of m ✓L''l 2 0 1 `7 <br /> by ILq 10k Lt I( as C E 0 of C stle Rock Construction Company of Colorado,LLC <br /> (Name) (Title) (Applicant/Operator) <br /> DAVID BROOKS <br /> NOTARY PUBLIC Notary Public <br /> STATE OF COLORADO <br /> NOTARY ID S 20154047623 <br /> MY COMMISSION EXPIRES DECEMBER 1]2019 My Commissi n expires: j Z 1 Z 0 <br /> SIGNATURES MUST BE IN BLUE INK <br />