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2019-06-12_PERMIT FILE - M2019027
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2019-06-12_PERMIT FILE - M2019027
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Last modified
12/27/2024 1:03:12 PM
Creation date
6/13/2019 8:45:18 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2019027
IBM Index Class Name
PERMIT FILE
Doc Date
6/12/2019
Doc Name
Incompleteness Response
From
Colorado Sand Company LLC
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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-7- <br /> Certification: <br /> As an authorized representative of the applicant,I hereby certify that the operation described has met the minimum requirements of the <br /> P Pl? Y fY p q <br /> following terms and conditions: <br /> 1. All necessary approvals from local government have been applied for(Section 34-32.5-110(1)(a)(VIII). <br /> 2. To the best of my knowledge,all significant,valuable and permanent man-made structure(s)in existence at the time this <br /> 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.). (NOTE: For 110 operations,the affected area includes all lands delineated by the permit <br /> boundary.) <br /> 3. No mining operation will be located on lands where such operations are prohibited by law(Section 34-32.5-115(4)(f), <br /> C.R.S.). <br /> 4. As the applicant/operator,I do not have any mining/exploration operations in the State of Colorado currently in violation of <br /> the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials(Section 34-32.5-120,C.R.S.). <br /> 5. 1 understand that statements in the application are being made under penalty of perjury and that false statements made herein <br /> are punishable as a Class 1 misdemeanor pursuant to Section 18-8-503,C.R.S. 1984. <br /> This form has been approved by the Mined Land Reclamation Boardpursuant to section 34-32.5-110,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 I( k'�' day of �yt^-� 2 C)l q <br /> CO o f a-d 0 Sct t'k L v'-V^0 u! L L L If Corporation Attest(Seal) <br /> Applicant/Operator <br /> Signed: I� Signed: A& ,S,,-- o,L <br /> �r^� Corporate Secretary or Equivalent <br /> Title: G�� ��ti(�wo �"� s��C Town/City/County Clerk <br /> State of <br /> )ss. <br /> County of <br /> The foregoing instrument was acknowledged before me this I day of Tuk`Q- Z C) <br /> by pcartrsae' as '.e 1Ka C'c( ;ce of Cc)lo(add Sa�`Gl Co�+/IgtiTC <br /> DANIEL MILLS <br /> Notary Public No lic <br /> State of Colorado <br /> Notary ID#20184045904 My Commission expires: ZOZZ <br /> My Commission Expires 11-29-2022 <br /> SIGNATURES MUST BE IN BLUE INK <br /> CARLY KOPPES <br /> WELD COUNTY CLER11 1k RECOpDIR <br /> (-e I 1p_ mQWZ <br />
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