Laserfiche WebLink
Certificattoa• <br />-6- <br />As an authorized representative ofthe applicant, I hereby certifythat the operation described has met the minimum requirements of <br />the following temts and conditions: <br />1. All necessary approvals from local government have been applied for (Section 34-32.5-t I t(1)(a)(IX)); <br />2. This entire mining operation will not affect more than 30 acres; <br />3. This mining operation will not adversely affect the stability of any significant, valuable and permanent man-made <br />structure(s) located within two hundred (200) feet ofthe affected lands. (However, where there is an agreementbetween the <br />appticant/operator and the persons having an interest in the stmcture that damage to the structure is to be compensated for <br />by the applicanUoperator (Secfion 34-32.5-1 I S(4)(e), C.R.S. 1984, as amended), then mining may occur within 200 feet. <br />Proof of an agreement must be submitted to the Office prior to the decision date.) <br />4. No mining operation will be located on lands where such operations are prohibited by law <br />(Section 34-32.5-115(4xf), C.R.S. 1984, as amended); <br />S. As the applicanUopemtor, T do not have any mining/exploration operations in this state of Colorado currenkly in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Constmction Materials <br />(Section 34-32.5-120, C.R.S. 1984, as amended) as determined through a Board finding. <br />6. 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 1 misdemeanor pursuant to Section 18-8-503, C.R.S. 1984, as amended. <br />This form has been approved by the Mined Land Reclamation Board pursuant to section 34-32.5-IIl,CR.S., ojthe Colorado <br />Land Reclamation Act jor the Extraction ojConstructian Materials. Any alteration or modification of this form shall result in <br />voiding any permit issued on the altered or modifred jorm and subject the operator to cease and desist orders and civil penalties <br />jor operating without a permitpursuane to section 34-32.5-723, C.R.S <br />Signed and dated this ~ day <br />Zoo <br />If Corporation Attest (Seal) <br />By: ~/~l/ltPS ~ .S~7C~/7/~I <br />Title: ~io~ ~ ov, /~I4nzv~r- <br />State of ~~rC1'~tJ ) <br />) ss. <br />County of ~JPS'C`~ ) <br />The forego,,in,,g~instr~umen~t+w~as acknowledged befor • this,~y~d~ay~of~ <br />bYy~cc%sc2~. at//~S as fYe~Qn7 i~/~C-iu' <br />By: <br />rporate Secre ry or @ui lent <br />TowNCity/County Clerk <br />X0'7 , <br />~~~~ ~ <br />tary P blic ~- <br />-" `•>.,, <br />y Commission expires: ~1~.~'r-~~' <br />,~~- - <br />SIGNATURES MIIST BE IN BLUE [NK ""'~_= 'r.~'-=~ ' <br />My\minishvrelvsPomt4,ContmstMN11 (Approved 05/I IlZWS) '~'~' '~_ <br />-',1»_ a. <br />s <br />