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PERMFILE45221
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PERMFILE45221
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Entry Properties
Last modified
8/24/2016 10:47:36 PM
Creation date
11/20/2007 12:15:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001022
IBM Index Class Name
Permit File
Doc Date
3/20/2001
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br /> <br />Certification: <br /> <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />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 this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operations aze prohibited by law (Section 34-32.5-1 IS(4)(Q, <br />C.RS.; <br />3. As the applicant/operator, I do not have any extraction exploration operations in the State of Colorado cturently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-325-120, C.RS.) as determined through a Boazd finding. <br />4. I understand that statements in the application are being made ands penalty of perjury and that false statements made <br />herein aze punishable as a Class 1 misdemeanor ptusuant to Section 18-8-503, C.RS. <br />~f ~ <br />Signed and dated this d2 / day of ~~Ba~ivai X00 / - _ <br />If Corporation AttesE(Seal) _ - <br />u <br />rate Secretary or Equivalent pPc- 4~ <br />TowtilCity/County Clerk l <br />State of (. v ~e A i) n ) <br />ss <br />County of ~~iT"i /Y7 f~P ) <br />T ,off <br />The foregoing instrument was acknowledged before me this~ 7/ .• day of ~~~~ /~rJ/~ / zm o ,, <br />by (~~ ~~E A ,~ ~G -s SEc - /!/r'A s of ~~ElA.c~, i~~~' <br />C6fr~c ~E,~~\ co ,r~~frc ~-,r~- <br />~ ,Q .~~ <br />No Public ~ ` <br />My Commission expires: 9~ e ~~ ~ 3 <br />SIGNATI3AES MUST BE SN BLL3E IP6K i , ~ ~ - <br />Title: !~ Grrs /,eas/Daruv <br />
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