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PERMFILE42767
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PERMFILE42767
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Entry Properties
Last modified
8/24/2016 10:45:12 PM
Creation date
11/20/2007 11:18:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001010
IBM Index Class Name
Permit File
Doc Date
3/1/2001
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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• ALLISrh GRAVEL PIT <br />- 7 - <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 />I. 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-I 15(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by law (Section <br />34-32.5-1 I5(4xt), C.R.S.; <br />3. As the applicant/operator,l do not have any extraction/explotation 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 (SeMion <br />34-32.5-120, C.R.S.) as determined through a Board fording. <br />4. I understand that statements in the application aze being made under penalty of perjury and that false statements <br />made herein are punishable as a Class I misdemeanor pursuant to Section I8-8-503, C.R.S. <br />Signed and dated this ~~ day of AuQUSt 2000 <br />Tim SheridanSimla Road and Bridge Foreman Elbert Lt t40[p0[ t on Attest <br />Applicant/Operator or Company Name .~~~, <br />Signed: ~ O/J_~~1r-c__ ~ <br />Title: <br />Simla Road And Bridge Foreman <br />1 ~~( <br />`~ <br />re7a _. <br />Clerk <br />State of Colorado ) <br />ss <br />County of Elbert ) <br />The foregoing instrument was acknowledged before me this 24 day of AUGUST 2000 <br />by TIM SHERIDAN ~ FOREMAN pf SIMLA RDAD & BRIDGE-ELBERT CTY. <br />KIM GABARDI -~~)~o/1t.f~~CR~ <br />NOTARY PUBLIC Notary Public <br />STATE OF COLORADO <br />My Commission Expires April2l, 2004 <br />My Commission expires: <br />SIGNATURES MUST BE IN BLUE INK <br />oviu~ <br />
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