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2021-11-18_REVISION - M1997026 (2)
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2021-11-18_REVISION - M1997026 (2)
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Last modified
12/28/2024 4:03:19 PM
Creation date
11/22/2021 10:31:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997026
IBM Index Class Name
REVISION
Doc Date
11/18/2021
Doc Name
Request For Amendment To Permit
From
Eagle River Materials, LLC
To
DRMS
Type & Sequence
AM1
Email Name
DMC
THM
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 of the 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 /> without a permit pursuant to section 34-32.5-123, C.R.S. <br /> t-4, <br /> Signed and dated this day of <br /> C r W `y C LZ.1,0 w If Corporation Attest(Seal) <br /> Applicant/Operator or Company Name- <br /> Signed: Signed: <br /> Corporate Secretary or Equivalent <br /> Title:_ 1 Q t Town/City/County Clerk <br /> State of <br /> ss. <br /> County of 64 <br /> The foregoing instrument was acknowledged before me this_.�'day of , <br /> � ,by RLAW,rfiW • (Jltp'� as l:i&'.1&r of MOOT 1c6yI <br /> Mary Katherine Ewing <br /> NOTARY PUBLIC Notary Pub is <br /> STATE OF COLORADO <br /> NOTARY ID 20084025854 <br /> MY COMMISSION EXPIRES JULY 27,2024 My Commission expires: Z' <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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