PERMFILE41362

• Permit No: M2000049
• IBM Index Class Name: Permit File
• Doc Date: 4/7/2000
• Doc Name: CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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Certification:
As an authorized representative of the applicant, Z hereby certify that the operation
described has met the minimum requirements of the following terms and ccrditions:
1. To the best of my knowledge, all significant, valuable and permanent man-made
structure(s) in existence at the time this application is filed, and located within 200
feet of the proposed affected area have been identified in this application (Section 34-
32.5-115 (4)(e), C.R.S.).
2. Alo mining operation will be located on lands where such operations are prohibited by
law (Section 34-32.5-115(4)(f), C.R.S.;
3. As the applicant/operator, I do not have any extraction/exploration operations in the
State of Colorado currently ir, violation of the provisions of the Colorado Land
Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S.)
as determined through a Board finding.
4. I understand that statements in the application are being made under penalty of
perjury and that false statements made herein are punishable as a Class 1 misdemeanor
pursuant to Section 18-8-503, C.R.S.
Signed and dated this 3 day of April 2000
Louisiana Land and Gravel Company, LLC
Applicant/Operator or Company Name
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Signed:
Michael A. DeJohn
Title: Manager
If Corporation Attest (Seal)
Signed:
Corporate Secretary or Equivalent
Town/City/County Clerk
State of LOU1Sland )
ss
County of East Feliciana
The foregoing instrument was acknowledged before me this 3 day of April 2000 ,
by Michael A. DeJohn as
of
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No P lit
My Commission expires: at death
SIGI~TQEtES MAST HE IN BLIIE IN&
06/26/97 2823FC0.112