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2019-04-16_REVISION - M1985129
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2019-04-16_REVISION - M1985129
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Last modified
12/27/2024 1:05:17 PM
Creation date
4/16/2019 12:30:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985129
IBM Index Class Name
REVISION
Doc Date
4/16/2019
Doc Name
Completeness Response
From
Christian Construction
To
DRMS
Type & Sequence
AM2
Email Name
JPL
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)in existence at the time <br /> this application is filed,and located within 200 feet ofthe 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.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 /> withowt a permit pursuant to se ti 2.5-123,C.R. <br /> Signed and dated this day of <br /> l I � Cun Y uc Ill I n C• If Corporation Attest(Seal) <br /> Applicant/Operator or Company Name <br /> Signed: _ Signed: no spQ <br /> / Corporate Secretary or Equivalent <br /> Title: e 5-,l/1- — Town/City/County Clerk <br /> State of <br /> ss. <br /> County of PG[S� ) <br /> The foregoing instrument was acknowledged before me this day of , <br /> -2-0 ,by VO�O 0/-�-�n✓�,s-��a as of C � a <br /> DARLA R RINGSTAD ~ <br /> NOTARY PUBLIC L 4 <br /> STATE OF COLORADO Notary Public <br /> NOTARY ID 19964021302 <br /> MY COMMISSION EXPIRE812/10/20 My Commission expires: <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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